OCTAVIO PEREZ-VELASCO M D P A (NPI# 1083865869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083865869 |
| Entity Type | Organization |
| Organization Name | OCTAVIO PEREZ-VELASCO M D P A |
| Practice Address |
1312 W Fletcher Ave Ste A Tampa FL 33612-3330 |
| Practice Telephone | 8139640595 |
| Practice Fax Number | 8139635071 |
| Mailing Telephone | 8139640595 |
| Mailing Fax Number | 8139635071 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |
| Authorized Official Name | OCTAVIO PEREZ-VELASCO (PRESIDENT) |
| Authorized Official Telephone | 8139640595 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME81174 | FL | Ambulatory Health Care Facilities |
| Street Address |
1312 W FLETCHER AVE STE A |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-3330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184601023 | Jorge Francisco Perezvelasco | Optometrist | 1312 W Fletcher Ave, Tampa, FL 33612-3330 | 2005-12-30 |
| 1205809233 | Octavio Juan Perez-velasco | Family Medicine | 1312 W Fletcher Ave, Suite A, Tampa, FL 33612-3366 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690704 | Celena Vinent Carbonell M.d., P.a. | Clinic/Center | 1001 N Macdill Ave Ste D, Tampa, FL 33607-5152 | 2020-08-20 |
| 1912528290 | Advanced Mobile Medical Services | Clinic/Center | 2136 W. Mlk Blvd, Tampa, FL 33607 | 2020-04-28 |
| 1356976401 | Healthworks Med Group of Florida P A | Clinic/Center | 8705 Henderson Rd, Tampa, FL 33634-1143 | 2020-03-10 |
| 1720639453 | Careatc | Clinic/Center | 4107 N Himes Ave Ste 101, Tampa, FL 33607-6645 | 2019-09-24 |
| 1023572591 | Cheryl A Reed Md LLC | Clinic/Center | 6101 Webb Rd Ste 207, Tampa, FL 33615-2865 | 2019-01-29 |
| 1629579339 | Ohc Primary LLC | Clinic/Center | 912 Channelside Dr Ste 2103, Tampa, FL 33602-4227 | 2018-02-27 |
| 1649778663 | Florida Advanced Acupuncture | Clinic/Center | 14003 N Dale Mabry Hwy, Tampa, FL 33618-2459 | 2018-01-24 |
| 1174895411 | Inspire Medical Clinic LLC | Clinic/Center | 9804 North 56th St., Tampa, FL 33617 | 2012-02-02 |
| 1891064275 | Ar Enterprises of Hillsborough County | Clinic/Center | 6323 Memorial Hwy # D-1, Tampa, FL 33615-4509 | 2011-12-14 |
| 1568782134 | West Tampa Medical Clinic | Clinic/Center | 2309 W Martin Luther King Jr Blvd, Suite 5, Tampa, FL 33607 | 2010-06-07 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.