Individual
ORLANDO ENRIQUE MIELES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 VONDERBURG DR STE 305, BRANDON, FL 33511-5976
(813) 651-0005
(813) 902-7234
Mailing address
500 VONDERBURG DR STE 305, BRANDON, FL 33511-5976
(813) 651-0005
(813) 902-7234
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18847
PR
208D00000X
General Practice Physician
Primary
ACN628
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014928700
—
FL
Enumeration date
06/20/2012
Last updated
10/30/2017
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