Individual
VANESSA URBINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6909 OLD HIGHWAY 441 S STE 104, MOUNT DORA, FL 32757-7039
(352) 605-6958
(352) 309-7579
Mailing address
6909 OLD HIGHWAY 441 S STE 104, MOUNT DORA, FL 32757-7039
(352) 605-6958
(352) 729-4278
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
35120650
OH
208D00000X
General Practice Physician
Primary
ME122274
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014578200
—
FL
Enumeration date
11/14/2008
Last updated
06/13/2025
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