Individual
ANA ELISA CUESTA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 425-5203
Mailing address
22 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(407) 648-3800
(407) 425-5203
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
ME112802
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014830900
—
FL
01
—
ME112802
MEDICAL LICENSE
FL
Enumeration date
08/27/2010
Last updated
06/20/2019
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