Healthcare Provider Details

I. General information

NPI: 1508539842
Provider Name (Legal Business Name): FATIH VELIJOSKI DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 US 1 S STE 4B
ST AUGUSTINE FL
32086-6310
US

IV. Provider business mailing address

3100 US 1 S STE 4B
ST AUGUSTINE FL
32086-6310
US

V. Phone/Fax

Practice location:
  • Phone: 904-429-7019
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number13614
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: