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NPI Code Detail

MEDICARE: ANTONIO ORLANDO VELAZQUEZ DE LA CRUZ ARNP

MEDICARE: ANTONIO ORLANDO VELAZQUEZ DE LA CRUZ ARNP
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
1363LF0000XFamily Nurse Practitioner9421757FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912239633
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTONIO ORLANDO VELAZQUEZ DE LA CRUZ ARNP
Provider Business Mailing Address
First Line : 1995 E OAKLAND PARK BLVD STE 250
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33306-1149
Country : US
Telephone Number : 954-791-6146
Fax Number : 954-337-2733
Provider Business Practice Location Address
First Line : 1995 E OAKLAND PARK BLVD STE 250
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33306-1149
Country : US
Telephone Number : 954-791-6146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2010
Last Update Date : 02/28/2019

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1336391366 — JORGE CHAVES CSA
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FORT LAUDERDALE, FL
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Practice Fax: 954-337-2733
1952541724 — MR. JOSEPH C ANDERSON SA-C, CSFA
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1995 E OAKLAND PARK BLVD STE 250
FORT LAUDERDALE, FL
33306-1149
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Practice Location Address:
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33306-1149
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1184993339 — MR. ALEJANDRO RAFULS A.R.N.P., FNP-C
Practice Location Address:
1995 E OAKLAND PARK BLVD STE 250
FORT LAUDERDALE, FL
33306-1149
Practice Phone: 954-791-6146
Practice Fax:

Directions to “ ANTONIO ORLANDO VELAZQUEZ DE LA CRUZ ARNP” Practice Location

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