Individual
MICHELLE LYNN DULZAIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5900 LAKE ELLENOR DR, ORLANDO, FL 32809-4618
(407) 352-6968
(407) 352-2547
Mailing address
5900 LAKE ELLENOR DR, ORLANDO, FL 32809-4618
(407) 352-6968
(407) 352-2547
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
APRN2237122
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP2237122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005966100
—
FL
Enumeration date
06/18/2012
Last updated
02/14/2024
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