Velazquez Vicente, Marissel
Velazquez Vicente, Marissel is an individual health care provider with primary practice located at 1505 53Rd Ave E , Bradenton FL 34203-4249. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Velazquez Vicente, Marissel can be contacted via phone (941) 357-7950.Contact Information
Primary practice address
1505 53Rd Ave E
Bradenton FL 34203-4249
Phone: (941) 357-7950
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME135986 | Florida |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 35.136627 | Ohio |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ME135986 | Florida |
Profile Details
| NPI number | 1396931275 |
|---|---|
| LBN Legal business name | Velazquez Vicente, Marissel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 24th, 2007 |
| Last updated | Mar 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396931275 | NPPES |
| Puerto Rico | Other | 7327 | STATE MD LICENSE |
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