Individual
SUSANA MESA VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 N ORANGE AVE, ORLANDO, FL 32801-2316
(407) 743-5089
Mailing address
127 W FAIRBANKS AVE, WINTER PARK, FL 32789-4326
(407) 743-5089
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11037046
FL
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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