Most Relevant Information
Provider Data
| NPI Number: | 1003262700 |
| Provider Name: | GLORIA MAVEL VELASQUEZ CASTANO M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/11/2016 |
| Last Updated: | 08/01/2019 |
Provider Practice Location
86 W UNDERWOOD ST
ORLANDO
FL
328061110
Practice Location Phone/Fax
| Phone: | 8889123648 |
| Fax: | 3218414085 |
Provider Mailing Location
86 W UNDERWOOD ST
ORLANDO
FL
328061110
Provider Mailing Phone/Fax
| Phone: | 8889123648 |
| Fax: | 3218414085 |