Perez-Velasco, Octavio Juan
Perez-Velasco, Octavio Juan is an individual health care provider with primary practice located at 1312 W Fletcher Ave Suite A, Tampa FL 33612-3366. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Perez-Velasco, Octavio Juan can be contacted via phone (813) 964-0595.Contact Information
Primary practice address
1312 W Fletcher Ave Suite A
Tampa FL 33612-3366
Phone: (813) 964-0595
Fax: (813) 963-5071
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME81174 | Florida |
Profile Details
NPI number | 1205809233 |
---|---|
LBN Legal business name | Perez-Velasco, Octavio Juan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 9th, 2006 |
Last updated | Apr 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205809233 | NPPES |
Florida | Other | 51903 | BCBS |
Florida | Other | 5495696 | BCBS |
Florida | Other | P00027558 | BCBS |
Florida | Other | ME81174 | BCBS |
Florida | Other | 10636201 | BCBS |
Florida | Other | 5903996 | BCBS |
Florida | Other | 37439 | BCBS |
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