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NPI Code Detail

MEDICARE: HENRY C VELDENZ M.D.

MEDICARE: HENRY C VELDENZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery Physician28226KY
22086S0129XVascular Surgery Physician67029FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4770003165OTHERKYRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11165414OTHERKYPASSPORT
2000000226988OTHERKYANTHEM BCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649279431
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRY C VELDENZ M.D.
Provider Business Mailing Address
First Line : 511 MEDICAL PLAZA DR STE 101
Second Line :
City : LEESBURG
State : FL
Zip : 34748-7328
Country : US
Telephone Number : 352-728-6808
Fax Number : 352-728-1743
Provider Business Practice Location Address
First Line : 511 MEDICAL PLAZA DR STE 101
Second Line :
City : LEESBURG
State : FL
Zip : 34748-7328
Country : US
Telephone Number : 352-728-6808
Fax Number : 352-728-1743
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 01/14/2019

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Directions to “ HENRY C VELDENZ M.D.” Practice Location

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