FERNANDO J VELASQUEZ MD PA
Medical Practice at Tampa Bay Blvd, Tampa, FL

License number
Florida ME39936
Category
Medical Practice
Type
Pediatrics
Owner
Name: FERNANDO JOSE VELASQUEZ MD
Title: PHYSICIAN
Phone: (813) 879-1985
Address
Address
2906 WEST Tampa Bay Blvd, Tampa, FL 33607
National Provider ID: 1043382070
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fernando J Velasquez MD

Tampa, FL  -  Brandon, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Fernando J. Velasquez, M.D., PA
Registration:
May 24, 1996
Phone:
(813) 879-1985 (Phone)
Addresses:
2906 W Tampa Bay Blvd, Tampa, FL 33607
1523 High Knl Dr, Brandon, FL 33511
State ID:
P96000044605
Business type:
Domestic for Profit Corporation
Secretarys:
Fernando J. Velasquez Owner, Medical Doctor, Director, inactive,Agnes Moll Secretary, inactive

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