Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | ME106712 | FL |
Y | 207RX0202X | Medical Oncology | ME106712 | FL |
NPI | 1023213089 |
---|---|
Provider Name | Dr. Marays Veliz |
First Address | Fort Myers, FL 33916-2216 |
Second Address | Leesburg, FL 34748-7309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2007 |
Last Update Date | 01/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002251600 | (05) | FL |
DN091Z | (02) | FL |