Velez, Erick Glenn

Velez, Erick Glenn is an individual health care provider with primary practice located at 1890 State Road 436 Suite 255, Winter Park FL 32792-2285. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Velez, Erick Glenn can be contacted via phone (407) 657-7900.

Contact Information

Primary practice address
1890 State Road 436 Suite 255 Winter Park FL 32792-2285
Phone: (407) 657-7900
Fax: (407) 657-7942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2841 Florida

Profile Details

NPI number 1730179599
LBN Legal business name Velez, Erick Glenn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Apr 29th, 2011 - about 15 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 1730179599 NPPES
Florida MEDICAID 291422100

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