Provider Demographics
NPI:1730603770
Name:NELSON, SANDRA LUCIA (DC)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LUCIA
Last Name:NELSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:LUCIA
Other - Last Name:ARANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1525 S ALAFAYA TRL STE 105
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-8926
Mailing Address - Country:US
Mailing Address - Phone:407-282-4449
Mailing Address - Fax:
Practice Address - Street 1:1201 LOUISIANA AVE STE E
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2340
Practice Address - Country:US
Practice Address - Phone:407-644-2990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-01
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12248111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor