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NPI Code Detail

MEDICARE: MR. ARMANDO ERICH VELIZ PA

MEDICARE: MR. ARMANDO ERICH VELIZ PA
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
1363A00000XPhysician AssistantPA9101387FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10010-05349OTHERNCMEDICAL LICENSE
2PA9101387OTHERFLMEDICAL LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184640096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARMANDO ERICH VELIZ PA
Provider Business Mailing Address
First Line : 2228 SLOANE PLACE
Second Line :
City : WELLINGTON
State : FL
Zip : 33414
Country : US
Telephone Number : 954-937-4974
Fax Number :
Provider Business Practice Location Address
First Line : 3800 S OCEAN DR STE 209
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33019-2915
Country : US
Telephone Number : 305-466-9988
Fax Number : 305-466-9989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 09/20/2019

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