Individual
ODALYS WITNELIA CARRION-ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-4914
(407) 956-1920
(407) 271-8436
Mailing address
425 W COLONIAL DR STE 303, ORLANDO, FL 32804-6863
(321) 332-6947
(407) 286-4515
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18362
PR
208D00000X
General Practice Physician
Primary
ACN1052
FL
Other
Enumeration date
08/09/2012
Last updated
08/16/2024
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