Individual
MARCIAL VELAZQUEZ-CANCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.T.
Contact information
Practice address
4816 NW 23RD TER, GAINESVILLE, FL 32605-6246
(352) 562-4496
Mailing address
4816 NW 23RD TER, GAINESVILLE, FL 32605-6246
(352) 562-4496
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
SU38805
FL
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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