Velasco, Choi Ken Agcadili

Velasco, Choi Ken Agcadili is an individual health care provider with primary practice located at 675 S Babcock St , Melbourne FL 32901-1459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Velasco, Choi Ken Agcadili can be contacted via phone (321) 951-1010.

Contact Information

Primary practice address
675 S Babcock St Melbourne FL 32901-1459
Phone: (321) 951-1010
Fax: (321) 952-4038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME88748 Florida

Profile Details

NPI number 1861486854
LBN Legal business name Velasco, Choi Ken Agcadili
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 26th, 2021 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861486854 NPPES
Florida Other 82005 BCBS
Florida MEDICAID 269121300 BCBS

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