Individual
DASIEL BELLIDO DE LUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1335 SLIGH BLVD, SUITE 200, ORLANDO, FL 32806
(407) 649-6884
Mailing address
1403 NOBLE PL, ORLANDO, FL 32801-4218
(561) 201-5832
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36113
FL
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36113
FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
09/29/2016
Last updated
08/03/2022
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