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Dr. Bryan Velasco, DO

Student in an Organized Health Care Education/Training Program in Orlando, FL. Individual provider (NPI-1).

NPI number1316640253
StatusActive
Last updated in NPPESApr 21, 2023

Details

NPI
1316640253
Entity type
Individual (NPI-1)
Name
Dr. Bryan Velasco
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Mar 22, 2023
Certification date
Apr 20, 2023
Last updated
Apr 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program–FLYes

Practice location

86 W Underwood St Ste 110
Orlando, FL 32806-1110

Phone 321-842-1428

Mailing address

86 W Underwood St Ste 110
Orlando, FL 32806-1110

Phone 321-842-1428

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