Individual
NELSA CHACON LOSADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD PA
Contact information
Practice address
6001 VINELAND RD, STE 105, ORLANDO, FL 32819-7829
(407) 370-6800
(407) 370-6823
Mailing address
6001 VINELAND RD, STE 105, ORLANDO, FL 32819-7829
(407) 370-6800
(407) 370-6823
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078822800
—
FL
01
—
20308
BC/BS
FL
05
—
U25040
—
FL
Enumeration date
03/14/2007
Last updated
09/09/2014
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