Individual
DR. JUAN LUIS VELAZQUEZ STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 CORAL WAY, 4TH FLOOR, MIAMI, FL 33145
(305) 856-1002
(877) 809-8253
Mailing address
3181 CORAL WAY, 4TH FLOOR, MIAMI, FL 33145
(305) 856-1002
(877) 809-8253
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
ME136113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100628600
—
FL
01
—
12746-I
MEDICAL STATE LICENSE #
PR
Enumeration date
11/16/2010
Last updated
12/13/2023
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