OrganizationOctavio Perez-Velasco M D P AFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1312 W Fletcher Ave, Ste A, Tampa, FL 33612-3330(813) 964-0595PECOS EnrollmentBased on the most recent information from CMS, provider Octavio Perez-Velasco M D P A does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1083865869Provider TypeOrganizationFull NameOctavio Perez-Velasco M D P ASubpartNoEnumeration Date10/10/2008Last Updated4/23/2024Contact InformationPractice LocationPractice Address1312 W Fletcher Ave, Ste A, Tampa, FL 33612-3330Phone(813) 964-0595Fax(813) 963-5071Mailing LocationMailing Address1312 W Fletcher Ave, Ste A, Tampa, FL 33612-3330Phone(813) 964-0595Fax(813) 963-5071Authorized OfficialNamePerez-Velasco, Octavio (President)Phone(813) 964-0595Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerCode261QP2300XDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseME81174Florida