Healthcare Provider Details

I. General information

NPI: 1467377432
Provider Name (Legal Business Name): GABRIEL A VELOZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3360 BURNS RD
PALM BEACH GARDENS FL
33410-4323
US

IV. Provider business mailing address

923 SW 29TH ST
PALM CITY FL
34990-2921
US

V. Phone/Fax

Practice location:
  • Phone: 561-812-4755
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS64870
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: