Ender Alfonso Urdaneta Torres, SA-C
Specialist/Technologist, Other, Surgical Assistant in Orlando, FL. Individual provider (NPI-1).
NPI number1891285508
StatusActive
Last updated in NPPESMay 17, 2018
Details
- NPI
- 1891285508
- Entity type
- Individual (NPI-1)
- Name
- Ender Alfonso Urdaneta Torres
- Credential
- SA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2018
- Last updated
- May 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246ZC0007X | Specialist/Technologist, Other, Surgical Assistant | 18-179 | FL | Yes |
Practice location
13840 Timberbrooke Dr Apt 101Orlando, FL 32824-6359
Phone 407-690-7799
Mailing address
13840 Timberbrooke Dr Apt 101Orlando, FL 32824-6359
Phone 407-690-7799
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