JUAN CAMILO VELASQUEZ (NPI# 1942477823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942477823 |
| Entity Type | Individual |
| Full Name | JUAN CAMILO VELASQUEZ |
| Credential | M.D |
| Practice Address |
3001 Nw 49th Ave Suite 104 Lauderdale Lakes FL 33313-7266 |
| Practice Telephone | 9547140686 |
| Practice Fax Number | 9547316017 |
| Mailing Telephone | 9547140686 |
| Mailing Fax Number | 9547316017 |
| Enumeration Date | 2008-05-10 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
ME121303 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770585192 | Juan Velasquez | Family Medicine | 2372 Sterling Ave, San Bernardino, CA 92404-4624 | 2005-08-15 |
| Street Address |
3001 NW 49TH AVE SUITE 104 |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-7266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508842493 | Alan Borenstein | Psychiatry & Neurology | 3001 Nw 49th Ave, Suite 204, Lauderdale Lakes, FL 33313-7266 | 2005-12-21 |
| 1669920880 | Daniel V Mock | Nurse Practitioner | 3001 Nw 49th Ave, Suite 104, Lauderdale Lakes, FL 33313-7266 | 2016-09-16 |
| 1962892042 | Patricia M Martindale Md Pa | Internal Medicine | 3001 Nw 49th Ave, Ste 204, Lauderdale Lakes, FL 33313-7266 | 2015-01-28 |
| 1639478571 | Marshall J. Brumer, Md, Pa | Internal Medicine | 3001 Nw 49th Ave, Suite 307, Lauderdale Lakes, FL 33313-7266 | 2011-03-17 |
| 1033443254 | Tenet Florida Physician Services, LLC | Orthopaedic Surgery | 3001 Nw 49th Ave, Ste 301, Lauderdale Lakes, FL 33313-7266 | 2009-09-21 |
| 1871749150 | Matthew L. Carr, M.d. | Nurse Practitioner | 3001 Nw 49th Ave, Suite 100, Lauderdale Lakes, FL 33313-7266 | 2008-08-18 |
| 1447416003 | Fawwaz Jaffer Mohiuddin | Orthopaedic Surgery | 3001 Nw 49th Ave, Suite 104, Lauderdale Lakes, FL 33313-7266 | 2008-08-04 |
| 1306019435 | Drs Carr and Ghitis Pl | Internal Medicine | 3001 Nw 49th Ave, Suite 100, Lauderdale Lakes, FL 33313-7266 | 2008-04-09 |
| 1992980007 | Amy Diane Waxman | Nurse Practitioner | 3001 Nw 49th Ave, Suite 100, Lauderdale Lakes, FL 33313-7266 | 2008-01-08 |
| 1427237759 | Walter M Fingerer Md Pa | Otolaryngology | 3001 Nw 49th Ave, Suite 207, Lauderdale Lakes, FL 33313-7266 | 2007-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760579429 | Matthew L Carr Md Pa | Internal Medicine | 3001 Nw 49 Ave, Suite #100, Lauderdale Lakes, FL 33313 | 2006-10-06 |
| 1982631750 | Aslam Mohammad Khan | Internal Medicine | 4900 W Oakland Park Blvd, Suite 207, Lauderdale Lakes, FL 33313-7500 | 2006-06-27 |
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|---|---|---|---|---|
| 1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
| 1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
| 1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
| 1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
| 1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
| 1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
| 1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
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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.