Individual
DANIELA TELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1012 LUCERNE TER FL 1, ORLANDO, FL 32806-1015
(407) 423-1039
(407) 425-2347
Mailing address
1012 LUCERNE TER FL 1, ORLANDO, FL 32806-1015
(407) 423-1039
(407) 425-2347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME150643
FL
207RI0200X
Infectious Disease Physician
Primary
ME150643
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112899100
—
FL
Enumeration date
05/22/2018
Last updated
08/04/2023
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