Provider Demographics
NPI:1396033890
Name:VELAZQUEZ, ADRIAN DAVID (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:DAVID
Last Name:VELAZQUEZ
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 BISCAYNE BLVD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4516
Mailing Address - Country:US
Mailing Address - Phone:305-764-3780
Mailing Address - Fax:877-533-8339
Practice Address - Street 1:2400 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4516
Practice Address - Country:US
Practice Address - Phone:305-764-3780
Practice Address - Fax:877-533-8339
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS47755183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist