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Individual

LUIS DANIEL VELAZCO DAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
3450 11TH CT STE 105, VERO BEACH, FL 32960-5012
(772) 563-4580
(772) 563-4690
Mailing address
3450 11TH CT STE 105, VERO BEACH, FL 32960-5012
(772) 563-4580

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
153907
FL
390200000X
Student in an Organized Health Care Education/Training Program
11015598A
IN

Other

Enumeration date
06/29/2010
Last updated
03/24/2023
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