Individual
EDWARD ALAN WETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 S DEAN RD, ORLANDO, FL 32825-8100
(407) 306-9488
(407) 306-9487
Mailing address
612 S DEAN RD, ORLANDO, FL 32825-8100
(407) 306-9488
(407) 306-9487
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
3100-0602419
FL
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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