Individual
DR. DEREK LODICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 HOVEY RD FL 32508, PENSACOLA, FL 32508-1044
(323) 226-4102
Mailing address
220 HOVEY RD FL 32508, PENSACOLA, FL 32508-1044
(850) 452-9484
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
35903790
VA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
20A 10138
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/27/2006
Last updated
11/19/2024
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