Individual
JOSMARY LEVY OBANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
Mailing address
509 S SEMORAN BLVD, ORLANDO, FL 32807-4334
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
FL
Other
Enumeration date
06/11/2017
Last updated
11/03/2020
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