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:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 1861486854 | NPPES |
| Florida | Other | 82005 | BCBS |
| Florida | MEDICAID | 269121300 | BCBS |
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