Octavio Perez-Velasco M D P a

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OCTAVIO PEREZ-VELASCO M D P A

Practice address

1312 W Fletcher Ave
Ste a
Tampa, FL 33612-3330

Phone

(813) 964-0595

Fax

(813) 963-5071

NPI assigned

Oct 10, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Octavio Perez-Velasco, MD

Title

President

Phone

(813) 964-0595

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1083865869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W FLETCHER AVE",
            "address_2": "STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123330",
            "telephone_number": "813-964-0595",
            "fax_number": "813-963-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W FLETCHER AVE",
            "address_2": "STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123330",
            "telephone_number": "813-964-0595",
            "fax_number": "813-963-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCTAVIO PEREZ-VELASCO M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "PEREZ-VELASCO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-964-0595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME81174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.