THAIS ODALIS QUELIZ PENA

ORLANDO, FL
NPI1336487826
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: FL  ME115985)
Enumeration Date2013-01-18
Last Update Date2016-06-23
Business Address
Dr. THAIS ODALIS QUELIZ PENA MD
83 W MILLER ST
ORLANDO, FL 32806-2031
Phone number: 321-843-9792
Mailing Address
Dr. THAIS ODALIS QUELIZ PENA MD
1483 LAKE BALDWIN LN B
ORLANDO, FL 32814-6744
Phone number: 646-321-6200