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1336487826
THAIS ODALIS QUELIZ PENA
ORLANDO, FL
NPI
1336487826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL ME115985)
Enumeration Date
2013-01-18
Last Update Date
2016-06-23
Business Address
Dr. THAIS ODALIS QUELIZ PENA MD
83 W MILLER ST
ORLANDO, FL 32806-2031
Phone number: 321-843-9792
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Mailing Address
Dr. THAIS ODALIS QUELIZ PENA MD
1483 LAKE BALDWIN LN B
ORLANDO, FL 32814-6744
Phone number: 646-321-6200
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