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Individual

DR. DERICK J. VELAZQUEZ-LUCENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MHA

Contact information

Practice address
11317 LAKE UNDERHILL RD, ORLANDO, FL 32825-4435
(407) 499-5900
(844) 388-6186
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
21618
PR
208D00000X
General Practice Physician
475
MA
208D00000X
General Practice Physician
Primary
ACN1231
FL
208D00000X
General Practice Physician
NJDCATEMP-012231
NJ
390200000X
Student in an Organized Health Care Education/Training Program
13873-I
PR
390200000X
Student in an Organized Health Care Education/Training Program
14128-I
PR

Other

Enumeration date
02/24/2020
Last updated
05/06/2026
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