Individual
DEREK LAWRENCE URQUIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1831
(800) 437-2672
Mailing address
501 NW 88TH AVE, PEMBROKE PINES, FL 33024-6527
(954) 614-0710
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA750
FL
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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