NPI 1609053636

Edward Alan Wetzel

Practitioner Private Vehicle Orlando, FL

Practice location

Address: 612 S Dean Rd, Orlando, FL 32825-8100
Phone: (407) 306-9488
Fax: (407) 306-9487

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 3100-0602419 (FL)

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Registry record

NPI: 1609053636
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2008
Record last updated: 22 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.