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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396931275 NPPES
Puerto Rico Other 7327 STATE MD LICENSE

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