Individual
GISELLE MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-1000
Mailing address
8230 TAVISTOCK LAKES BLVD, ORLANDO, FL 32827-7409
(787) 300-7868
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24850
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2019
Last updated
07/06/2020
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