LUIS J. VELAZQUEZ VICENTE

LAKELAND, FL
NPI1891945580
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: FL  ACN587)
Additional Taxonomies208D00000X General Practice
(Licence: PR  17355)
Enumeration Date2008-09-30
Last Update Date2016-09-01
Business Address
Dr. LUIS J. VELAZQUEZ VICENTE M.D.
4120 US HIGHWAY 98 N SUITE 200
LAKELAND, FL 33809-3854
Phone number: 863-940-3147
Mailing Address
Dr. LUIS J. VELAZQUEZ VICENTE M.D.
111 WEBB DR
DAVENPORT, FL 33837-3962
Phone number: 863-588-1424