Individual
DR. ELENA RUEDA-DE-LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6535 NEMOURS PKWY, ORLANDO, FL 32827-7884
(407) 650-7715
Mailing address
1809 VIA LAGO DR, LAKELAND, FL 33810-2418
(561) 307-7845
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD0000056070
TN
2080P0202X
Pediatric Cardiology Physician
MD0000056070
TN
2080P0202X
Pediatric Cardiology Physician
Primary
ME150332
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2014
Last updated
08/03/2021
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