Active NPI
Fernando J Velasquez MD PA
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1043382070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME39936
- Legal business name
- FERNANDO J VELASQUEZ MD PA
- Practice address
- 2906 West Tampa Bay Boulevard
Tampa, FL 33607-1233 - Phone
- (813) 879-1985
- Fax
- (813) 876-0336
- NPI assigned
- Nov 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fernando Jose Velasquez, MD
- Title
- Physician
- Phone
- (813) 879-1985
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME39936 | FL | Primary |
Addresses
Primary practice location
2906 West Tampa Bay Boulevard
Tampa, FL 33607-1233
Mailing address
2906 West Tampa Bay Blvd
Tampa, FL 33607-1233
Phone (813) 879-1985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77331 | Other | FL | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Tampa, FL
- NPI 1679580443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043382070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 WEST TAMPA BAY BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071233",
"telephone_number": "813-879-1985",
"fax_number": "813-876-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 WEST TAMPA BAY BOULEVARD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071233",
"telephone_number": "813-879-1985",
"fax_number": "813-876-0336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO J VELASQUEZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VELASQUEZ",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "JOSE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "813-879-1985",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME39936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "77331",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.