Individual
JOSE A CORNEJO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5636 HANSEL AVE, ORLANDO, FL 32809-4216
(407) 850-0056
(407) 240-7693
Mailing address
5729 MASTERS CT, ORLANDO, FL 32819-4023
(407) 876-4791
(407) 240-7693
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0029540
FL
Other
Enumeration date
07/14/2005
Last updated
07/08/2007
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