Individual
SAMERAWIT TADELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4151 HUNTERS PARK LN STE 108, ORLANDO, FL 32837-3617
(407) 898-2767
Mailing address
1438 SUN MEADOW DR, ORLANDO, FL 32824-5112
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11035152
FL
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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