Individual
ERICK GLENN VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1890 STATE ROAD 436, SUITE 255, WINTER PARK, FL 32792-2285
(407) 657-7900
(407) 657-7942
Mailing address
1890 STATE ROAD 436, SUITE 255, WINTER PARK, FL 32792-2285
(407) 657-7900
(407) 657-7942
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2841
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291422100
—
FL
Enumeration date
10/24/2005
Last updated
04/29/2011
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