MEDICARE: DR. DIEGO VELARDE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RB0002X	Obesity Medicine (Internal Medicine) Physician	ME94651	FL
2	208600000X	Surgery Physician	ME94651	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	42032	OTHER	FL	BCBS OF FLORIDA
2	049629	OTHER	FL	FLORIDA HEALTH CARE PLANS
3	2568735	OTHER	FL	MULTI PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	458504	OTHER		WELLCARE
6	7782074	OTHER		CIGNA
7	9124167	OTHER		AETNA
8	P306896	OTHER		FREEDOM HEALTH
9	01226832	OTHER		AMERIGROUP
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215959721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DIEGO VELARDE MD

Provider Business Mailing Address
First Line	:	3165 SUNTREE BLVD STE 101
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-5720
Country	:	US
Telephone Number	:	321-549-2000
Fax Number	:	321-549-2142

Provider Business Practice Location Address
First Line	:	3165 SUNTREE BLVD STE 101
Second Line	:
City	:	ROCKLEDGE
State	:	FL
Zip	:	32955-5720
Country	:	US
Telephone Number	:	321-549-2000
Fax Number	:	321-549-2142

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	06/13/2024

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Directions to “ DR. DIEGO VELARDE MD” Practice Location

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