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Individual

DR. FERNANDO E BAYRON VELEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4900 W OAKLAND PARK BLVD STE 101, LAUDERDALE LAKES, FL 33313-1555
(954) 472-1322
(954) 370-3420
Mailing address
4900 W OAKLAND PARK BLVD STE 101, LAUDERDALE LAKES, FL 33313-1555
(954) 472-1322
(954) 370-3420

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11131
PR
208600000X
Surgery Physician
Primary
ME 93401
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
274362100
FL
Enumeration date
10/11/2005
Last updated
11/18/2021
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