Provider Demographics
NPI:1376871855
Name:VELA, NATHAN DANIEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:DANIEL
Last Name:VELA
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1201 NW 16TH ST
Mailing Address - Street 2:MAILSTOP #112
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125
Mailing Address - Country:US
Mailing Address - Phone:305-904-5900
Mailing Address - Fax:954-990-4482
Practice Address - Street 1:1201 NW 16TH ST
Practice Address - Street 2:MAILSTOP 112
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125
Practice Address - Country:US
Practice Address - Phone:305-575-7000
Practice Address - Fax:305-575-7234
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2012-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPO3460213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery