Dr Luis J Velazquez Vicente, MD | |
4120 Us Highway 98 N, Suite 200, Lakeland, FL 33809-3854 | |
(863) 940-3147 | |
(863) 940-3141 |
Full Name | Dr Luis J Velazquez Vicente |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 17 Years |
Location | 4120 Us Highway 98 N, Lakeland, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891945580 | NPI | - | NPPES |
ACN587 | Other | FL | MEDICINE DOCTOR LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 17355 (Puerto Rico) | Secondary |
208D00000X | General Practice | ACN587 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vitas Healthcare Corporation Of Florida | Melbourne, FL | Hospice |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centerwell Senior Primary Care Fl Inc. | 9830184738 | 75 |
Entity Name | Centerwell Senior Primary Care Fl Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487686705 PECOS PAC ID: 9830184738 Enrollment ID: O20040419001657 |
Entity Name | Medical Home Alliance, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249 |
Mailing Address | Practice Location Address |
---|---|
Dr Luis J Velazquez Vicente, MD 111 Webb Dr, Davenport, FL 33837-3962 Ph: (863) 588-1424 | Dr Luis J Velazquez Vicente, MD 4120 Us Highway 98 N, Suite 200, Lakeland, FL 33809-3854 Ph: (863) 940-3147 |
Janmary Figueroa, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 206 N Florida Ave, Lakeland, FL 33801 Phone: 863-209-7003 Fax: 863-284-3083 | |
Dr. Justa Milagros Crespo Torres, MD General Practice Medicare: Medicare Enrolled Practice Location: 4120 Us Highway 98 N Ste 200, Lakeland, FL 33809 Phone: 863-940-3147 Fax: 863-940-3141 | |
Samuel Defigarelli I, M.D. General Practice Medicare: Medicare Enrolled Practice Location: 1129 N Missouri Ave, Lakeland, FL 33805 Phone: 866-234-8534 | |
Dr. Agustin Vanoni, M.D General Practice Medicare: Accepting Medicare Assignments Practice Location: 4120us Hwy 98 N. Suite 200, Lakeland, FL 33809 Phone: 863-940-3147 | |
Sarim Idrees, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 4729 Us Highway 98 S Ste 201, Lakeland, FL 33812 Phone: 863-646-9663 Fax: 863-646-9664 | |
Dr. Luis Garcia Rivera, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5425 S Florida Ave, Lakeland, FL 33813 Phone: 863-644-3585 Fax: 863-644-3171 | |
Prudencio P Aqui, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 2133 S Combee Rd, Sterling Square, Lakeland, FL 33801 Phone: 863-666-1366 Fax: 863-667-0497 |