Individual
ENDER ALFONSO URDANETA TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
13840 TIMBERBROOKE DR APT 101, ORLANDO, FL 32824-6359
(407) 690-7799
Mailing address
13840 TIMBERBROOKE DR APT 101, ORLANDO, FL 32824-6359
(407) 690-7799
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
18-179
FL
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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