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NPI Code Detail

MEDICARE: JULIETA VELEZ PA

MEDICARE: JULIETA VELEZ 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 AssistantPA9103441FL

General Provider Information

NPI Number : 1477695237
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIETA VELEZ PA
Provider Business Mailing Address
First Line : 2900 CORPORATE WAY
Second Line : DOOR D
City : MIRAMAR
State : FL
Zip : 33025-3925
Country : US
Telephone Number : 954-276-5685
Fax Number : 954-985-7074
Provider Business Practice Location Address
First Line : 1150 N 35TH AVE STE 345
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-5488
Country : US
Telephone Number : 954-265-6300
Fax Number : 954-961-3600
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 03/16/2021

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Directions to “ JULIETA VELEZ PA” Practice Location

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