Individual
BRISEIDA NOELIA FUENTES CAMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12971 AVALON LAKE DR APT 305, ORLANDO, FL 32828-0005
(407) 516-8025
Mailing address
12971 AVALON LAKE DR APT 305, ORLANDO, FL 32828-0005
(407) 516-8025
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7744
FL
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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