MEDICARE: DANIEL CLARO VELAZQUEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WM1400X	Nurse Massage Therapist (NMT)	RN9626516	FL

General Provider Information

NPI Number	:	1043147903
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL CLARO VELAZQUEZ

Provider Business Mailing Address
First Line	:	1141 N 71ST AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5541
Country	:	US
Telephone Number	:	786-450-9987
Fax Number	:

Provider Business Practice Location Address
First Line	:	1141 N 71ST AVE
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33024-5541
Country	:	US
Telephone Number	:	786-450-9987
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2026
Last Update Date	:	05/05/2026

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Directions to “ DANIEL CLARO VELAZQUEZ ” Practice Location

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