Individual
DR. ELIAM MANUEL FUENTES TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
831 S STATE ROAD 434, ALTAMONTE SPRINGS, FL 32714-3502
(407) 256-3456
(407) 730-2176
Mailing address
13136 WOODFORD ST, ORLANDO, FL 32832
(787) 955-0232
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME114560
FL
Other
Enumeration date
07/02/2009
Last updated
05/26/2015
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