Individual
JAIME ERNESTO VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2820 NE 214TH ST STE 824, AVENTURA, FL 33180-1270
(754) 204-5232
Mailing address
3127 NW 84TH WAY, SUNRISE, FL 33351-8907
(754) 204-5232
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-661
FL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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