Individual
DEREK JAMES SKOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12301 LAKE UNDERHILL RD STE 215, ORLANDO, FL 32828-4511
(321) 235-0692
(321) 235-0694
Mailing address
12301 LAKE UNDERHILL RD STE 215, ORLANDO, FL 32828-4511
(321) 235-0692
(321) 235-0694
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS21074
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124429000
—
FL
Enumeration date
05/28/2022
Last updated
03/17/2025
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