MEDICARE: DR. NANCY BLAS VELEZ MD

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
1	208D00000X	General Practice Physician	16116	PR
2	208D00000X	General Practice Physician	ACN700	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	016116	OTHER	PR	LIC MEDICA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ACN700	OTHER	FL	MEDICAL LICENSE NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629134952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY BLAS VELEZ MD

Provider Business Mailing Address
First Line	:	2600 S DOUGLAS RD STE 308
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-6134
Country	:	US
Telephone Number	:	813-859-5449
Fax Number	:

Provider Business Practice Location Address
First Line	:	6836 MEDICAL VIEW LN
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-6615
Country	:	US
Telephone Number	:	813-859-5449
Fax Number	:	813-395-5478

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	08/21/2025

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