Individual
EDWIN DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1707 N MILLS AVE, ORLANDO, FL 32803-1851
(407) 647-3960
(407) 413-5775
Mailing address
1707 N MILLS AVE, ORLANDO, FL 32803-1851
(407) 647-3960
(407) 413-5775
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0063956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250997100
—
FL
Enumeration date
07/21/2005
Last updated
05/08/2024
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