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Individual

HENDRIKUS S VANDERVELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 TAMPA GENERAL CIR, TAMPA, FL 33606-3571
(813) 821-8038
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME177255
FL
207RG0100X
Gastroenterology Physician
P6743
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
129174800
FL
05
323906301
TX
01
323906302
CSHCN
TX
01
68597
BCBS
FL
Enumeration date
05/06/2008
Last updated
01/12/2026
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