Individual
RICHARD NELSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6239 EDGEWATER DR STE 2, ORLANDO, FL 32810-4736
(407) 948-5689
Mailing address
883 CAVAN DR, APOPKA, FL 32703-8344
(407) 948-5689
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
06/16/2018
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