Tito Velasquez

NPI #1013551266 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1013551266
Entity Type: Individual
Name: Tito Velasquez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Oct 31, 2019
Last Updated: Dec 10, 2019

Practice Location

Address: 1160 N FEDERAL HWY APT 1023
City: Fort Lauderdale
State: Florida
ZIP Code: 33304-1436
Phone: (312) 833-1183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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