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Dr. Derick J. Velazquez-lucena, MD,MHA
General Practice Physician in Orlando, Florida
NPI 1689208274

Derick J. Velazquez-lucena is a General Practice Physician based in Tampa, FL. Derick J. Velazquez-lucena practices in Orlando, FL and has the professional credentials of MD,MHA. The NPI Number for Derick J. Velazquez-lucena is 1689208274 and holds a License No. NJDCATEMP-012231 (Florida).

The current practice location address for Derick J. Velazquez-lucena is 11317 Lake Underhill Rd, Orlando, FL and can be reached out via phone at 407-499-5900 and via fax at 844-388-6186.

Location: 11317 Lake Underhill Rd, Orlando, FL, 33602-5925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689208274
Provider Name
Derick J. Velazquez-lucena
Credential
MD,MHA
Provider Entity Type
Individual
Gender
Male
Address
11317 Lake Underhill Rd, Orlando, FL, 33602-5925
Phone Number
407-499-5900
Fax Number
844-388-6186
Provider Enumeration Date
02/24/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11317 Lake Underhill Rd
City
Orlando
State
Florida
Zip
32825-4435
Phone Number
407-499-5900
Fax Number
844-388-6186
person
Provider Business Mailing Address Details
Address
11317 Lake Underhill Rd
City
Orlando
State
Florida
Zip
32825-4435
Phone Number
407-499-5900
Fax Number
844-388-6186
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
21618 ()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
NJDCATEMP-012231 (New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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