Individual
DANNA COOMES VELLODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
77 W UNDERWOOD ST, SUITE 200, 2ND FLOOR, ORLANDO, FL 32806
(407) 649-6884
(407) 245-7059
Mailing address
102 W. PINELOCH AVE., SUITE 23, ORLANDO, FL 32806
(407) 481-7174
(407) 481-7190
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA 9102439
FL
Other
Enumeration date
11/09/2006
Last updated
08/20/2007
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