Queliz Pena, Thais Odalis

Queliz Pena, Thais Odalis is an sole proprietor health care provider with primary practice located at 83 W Miller St , Orlando FL 32806-2031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Queliz Pena, Thais Odalis can be contacted via phone (321) 843-9792.

Contact Information

Primary practice address
83 W Miller St Orlando FL 32806-2031
Phone: (321) 843-9792
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X ME115985 Florida

Profile Details

NPI number 1336487826
LBN Legal business name Queliz Pena, Thais Odalis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2013
Last updated Jun 23rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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