Individual
DANIEL JESUS NOHRA REVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
32 W GORE ST FL 3, ORLANDO, FL 32806-1134
(407) 352-5434
(407) 345-9765
Mailing address
32 W GORE ST FL 3, ORLANDO, FL 32806-1134
(407) 352-5434
(407) 345-9765
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
OS15741
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105776200
—
FL
Enumeration date
02/26/2015
Last updated
10/26/2020
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