Healthcare Provider Details

I. General information

NPI: 1194177311
Provider Name (Legal Business Name): JEAN CARLOS VEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2016
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 BRUCE B DOWNS BLVD STE 250
TAMPA FL
33613-4652
US

IV. Provider business mailing address

13601 BRUCE B DOWNS BLVD STE 250
TAMPA FL
33613-4652
US

V. Phone/Fax

Practice location:
  • Phone: 813-291-2623
  • Fax:
Mailing address:
  • Phone: 813-291-2623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number32316
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME143650
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: