Individual
RICARDO LASCELLES LLEWELLYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-7283
Mailing address
326 N MILLS AVE, ORLANDO, FL 32803-5734
(407) 841-1100
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11005947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106759200
—
FL
Enumeration date
02/13/2020
Last updated
08/08/2024
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