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Individual

MS. RENUKA VELISETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
611 N WYMORE RD STE 220, WINTER PARK, FL 32789-2843
(407) 205-8105
(760) 267-9154
Mailing address
611 N WYMORE RD STE 220, WINTER PARK, FL 32789-2843
(407) 205-8105
(760) 267-9154

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
MD-45181
IA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME165450
FL

Other

Enumeration date
04/09/2013
Last updated
04/24/2024
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