Individual
MR. EDSEL J COMENENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7148 CURRY FORD RD, SUITE 100, ORLANDO, FL 32822-5803
(407) 482-2221
(407) 482-2284
Mailing address
7148 CURRY FORD RD, SUITE 100, ORLANDO, FL 32822-5803
(407) 482-2221
(407) 482-2284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME78656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258070500
—
FL
Enumeration date
08/04/2005
Last updated
11/23/2009
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