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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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