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Organization

ENRIQUE VELAZQUEZ MD PA

Active
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Organization

ENRIQUE VELAZQUEZ MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ENRIQUE VELAZQUEZ MD (MEDICAL DOCTOR)
(352) 795-1414
Entity
Organization

Contact information

Practice address
700 SE 5TH TER, SUITE 1, CRYSTAL RIVER, FL 34429-4878
(352) 795-1414
(352) 795-2256
Mailing address
700 SE 5TH TER, SUITE 1, CRYSTAL RIVER, FL 34429-4878
(352) 795-1414
(352) 795-2256

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 30897
FL

Other

Enumeration date
10/15/2009
Last updated
01/24/2019
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