Individual
MICHAEL NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-1000
Mailing address
130 BEASLEY RD, OVIEDO, FL 32765-9497
(321) 947-3970
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
CRT92364
FL
Other
Enumeration date
07/08/2017
Last updated
07/08/2017
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