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NPI Code Detail

MEDICARE: ABIMAEL VELEZ

MEDICARE: ABIMAEL VELEZ
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
1183500000XPharmacistPS70193FL

General Provider Information

NPI Number : 1205766490
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIMAEL VELEZ
Provider Business Mailing Address
First Line : 340 NW COMMERCE DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4709
Country : US
Telephone Number : 386-719-9000
Fax Number :
Provider Business Practice Location Address
First Line : 340 NW COMMERCE DR
Second Line :
City : LAKE CITY
State : FL
Zip : 32055-4709
Country : US
Telephone Number : 386-719-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “ ABIMAEL VELEZ ” Practice Location

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