Velazquez, Enrique

Velazquez, Enrique is an sole proprietor health care provider with primary practice located at 700 Se Fifth Terrace Suite 1, Crystal River FL 34429. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Velazquez, Enrique can be contacted via phone (352) 795-1414.

Contact Information

Primary practice address
700 Se Fifth Terrace Suite 1 Crystal River FL 34429
Fax: (352) 795-2256
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X ME30897 Florida

Profile Details

NPI number 1992806095
LBN Legal business name Velazquez, Enrique
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jan 24th, 2019 - about 7 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 1992806095 NPPES
Florida MEDICAID 063580400

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