Individual
DR. ENRIQUE VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 SE FIFTH TERRACE, SUITE 1, CRYSTAL RIVER, FL 34429
(352) 795-1414
(352) 795-2256
Mailing address
700 SE FIFTH TERRACE, SUITE 1, CRYSTAL RIVER, FL 34429
(352) 795-1414
(352) 795-2256
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME30897
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063580400
—
FL
Enumeration date
09/25/2006
Last updated
01/24/2019
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