Healthcare Provider Details

I. General information

NPI: 1558435107
Provider Name (Legal Business Name): ANTONIO ROBERTO VELARDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1277 N SEMORAN BLVD STE 101
ORLANDO FL
32807-3573
US

IV. Provider business mailing address

7909 HORSE FERRY RD
ORLANDO FL
32835-5974
US

V. Phone/Fax

Practice location:
  • Phone: 321-422-2303
  • Fax: 855-538-4594
Mailing address:
  • Phone: 407-965-6435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME 73818
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberM-10646
License Number StateID
# 3
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberME73818
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: