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General NPI Number Information
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NPI Number | 1740731264
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Entity Type | Individual
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Provider Name | ANTONIO LUIS VELEZ PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 9299 CORAL REEF DR STE 203
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1776
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Country | US
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Telephone | 305-234-9180
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Fax | 305-234-9182
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Provider Business Mailing Address
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Address Line | 9299 CORAL REEF DR STE 203
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1776
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Country | US
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Telephone | 305-234-9180
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Fax | 305-234-9182
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME166920
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | ME166920
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License Number State | FL
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