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Dr. Luis J. Velazquez Vicente, MD
General Practice Physician in Lakeland, Florida
NPI 1891945580

Luis J. Velazquez Vicente is a General Practice Physician based in Davenport, FL. Luis J. Velazquez Vicente practices in Lakeland, FL and has the professional credentials of MD. The NPI Number for Luis J. Velazquez Vicente is 1891945580 and holds a License No. 17355 (Florida).

The current practice location address for Luis J. Velazquez Vicente is 4120 Us Highway 98 N, Lakeland, FL and can be reached out via phone at 863-940-3147 and via fax at 863-940-3141.

Location: 4120 Us Highway 98 N, Lakeland, FL, 33837-3962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891945580
Provider Name
Luis J. Velazquez Vicente
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4120 Us Highway 98 N, Lakeland, FL, 33837-3962
Phone Number
863-940-3147
Fax Number
863-940-3141
Provider Enumeration Date
09/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ACN587 01 FL MEDICINE DOCTOR LIC
institution
Provider Business Practice Location Address Details
Address
4120 Us Highway 98 N
City
Lakeland
State
Florida
Zip
33809-3854
Phone Number
863-940-3147
Fax Number
863-940-3141
person
Provider Business Mailing Address Details
Address
4120 Us Highway 98 N
City
Lakeland
State
Florida
Zip
33809-3854
Phone Number
863-940-3147
Fax Number
863-940-3141
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
17355 ()
Definition
Definition to come...
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