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NPI Code Detail

MEDICARE: URIAS VELASQUEZ

MEDICARE: URIAS VELASQUEZ
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
1101YM0800XMental Health CounselorSW26009FL

General Provider Information

NPI Number : 1578417804
Entity Type Code : Individual
Provider Name (Legal Business Name) : URIAS VELASQUEZ
Provider Business Mailing Address
First Line : 105 SUMMIT LN
Second Line :
City : CARNESVILLE
State : GA
Zip : 30521-3972
Country : US
Telephone Number : 904-513-1793
Fax Number :
Provider Business Practice Location Address
First Line : 10135 GATE PKWY N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32246-8274
Country : US
Telephone Number : 904-513-1793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ URIAS VELASQUEZ ” Practice Location

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