Individual
MRS. MICHELLE FERRER WALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6700 LAKE NONA BLVD, ORLANDO, FL 32827-7729
(689) 216-8000
Mailing address
700 W OAK ST, KISSIMMEE, FL 34741-4924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
FW6712764
FL
207P00000X
Emergency Medicine Physician
OS14540
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902124035
NPI
—
Enumeration date
05/13/2010
Last updated
12/17/2021
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