Individual
HENRY C VELDENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748-7328
(352) 728-6808
(352) 728-1743
Mailing address
511 MEDICAL PLAZA DR STE 101, LEESBURG, FL 34748-7328
(352) 728-6808
(352) 728-1743
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
28226
KY
2086S0129X
Vascular Surgery Physician
Primary
67029
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000226988
ANTHEM BCBS
KY
01
—
1165414
PASSPORT
KY
05
—
64050602
—
KY
01
—
770003165
RAILROAD MEDICARE
KY
Enumeration date
07/14/2005
Last updated
01/14/2019
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