Blas Velez, Nancy

Blas Velez, Nancy is an sole proprietor health care provider with primary practice located at 3650 Innovation Dr , Lakeland FL 33812-4105. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Blas Velez, Nancy can be contacted via phone (863) 646-6295.

Contact Information

Primary practice address
3650 Innovation Dr Lakeland FL 33812-4105
Phone: (863) 646-6295
Fax: (863) 701-2151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 16116 Puerto Rico
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN700 Florida

Profile Details

NPI number 1629134952
LBN Legal business name Blas Velez, Nancy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2006
Last updated Mar 23rd, 2023 - about 3 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 1629134952 NPPES
Puerto Rico Other 016116 LIC MEDICA
Puerto Rico Other ACN700 LIC MEDICA
Puerto Rico MEDICAID 023040300 LIC MEDICA

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