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NPI Code Detail

MEDICARE: GLENDALIZ VELEZ

MEDICARE:   GLENDALIZ  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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1558943373
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLENDALIZ VELEZ
Provider Business Mailing Address
First Line : 2215 WESTON LN APT H
Second Line :
City : ORLANDO
State : FL
Zip : 32810-4440
Country : US
Telephone Number : 321-666-1558
Fax Number :
Provider Business Practice Location Address
First Line : 2215 WESTON LN APT H
Second Line :
City : ORLANDO
State : FL
Zip : 32810-4440
Country : US
Telephone Number : 321-666-1558
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2021
Last Update Date : 04/21/2021

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Directions to “ GLENDALIZ VELEZ ” Practice Location

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