Individual
HERMES SEGUNDO VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3450 11TH CT STE 203, VERO BEACH, FL 32960-5012
(772) 794-5800
(772) 794-5801
Mailing address
1000 36TH ST, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 794-1450
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
19311
MS
207RP1001X
Pulmonary Disease Physician
Primary
ME
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00752396
—
MS
05
—
011063100
—
FL
05
—
1455580
—
LA
01
—
P00346935
RAILROAD MEDICARE
—
Enumeration date
08/09/2006
Last updated
07/21/2022
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