Individual
SELWYN T SORNABALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 WESTMORELAND CIR, KISSIMMEE, FL 34744-5463
(407) 348-8886
(407) 348-4486
Mailing address
203 WESTMORELAND CIR, KISSIMMEE, FL 34744-5463
(407) 348-8886
(407) 348-4486
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
ME87926
FL
208M00000X
Hospitalist Physician
Primary
ME87926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269334800
—
FL
Enumeration date
12/29/2005
Last updated
01/06/2016
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