Individual
MR. HILARIO LELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 518-3390
Mailing address
3872 ISLAND GREEN WAY, ORLANDO, FL 32824-5085
(904) 891-9703
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
9305807
FL
163WM0705X
Medical-Surgical Registered Nurse
9305807
FL
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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