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NPI Code Detail

MEDICARE: YARISSE VELEZ

MEDICARE: YARISSE VELEZ
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
1156FX1800XOpticianDO7430

General Provider Information

NPI Number : 1780549261
Entity Type Code : Individual
Provider Name (Legal Business Name) : YARISSE VELEZ
Provider Business Mailing Address
First Line : 2521 WADEVIEW LOOP
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34769-6529
Country : US
Telephone Number : 689-262-0689
Fax Number :
Provider Business Practice Location Address
First Line : 2521 WADEVIEW LOOP
Second Line :
City : SAINT CLOUD
State : FL
Zip : 34769-6529
Country : US
Telephone Number : 689-262-0689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ YARISSE VELEZ ” Practice Location

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