Individual
DR. KRISTEN C VANDERVELDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7727 LAKE UNDERHILL RD, ORLANDO, FL 32822-8224
(407) 303-6413
Mailing address
12957 MALLORY CIR APT 205, ORLANDO, FL 32828-3806
(727) 674-8641
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS12002
FL
Other
Enumeration date
01/27/2013
Last updated
01/27/2013
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