Individual
MICHELLE DELLENE VLASSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
76 UNDERWOOD ST STE 300, ORLANDO, FL 32806-1110
(321) 841-7550
(321) 840-1569
Mailing address
76 UNDERWOOD ST STE 300, ORLANDO, FL 32806-1110
(321) 841-7550
(321) 840-1569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9109777
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9109777
FL
Other
Enumeration date
05/18/2016
Last updated
07/26/2024
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