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NPI Code Detail

MEDICARE: MARIA S COLON

MEDICARE: MARIA S COLON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies1493FL

General Provider Information

NPI Number : 1205839750
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARIA S COLON
Provider Business Mailing Address
First Line : 170 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-3293
Country : US
Telephone Number : 407-249-8797
Fax Number : 407-249-0345
Provider Business Practice Location Address
First Line : 170 S SEMORAN BLVD
Second Line :
City : ORLANDO
State : FL
Zip : 32807-3293
Country : US
Telephone Number : 407-249-8797
Fax Number : 407-249-0345
Authorized Official
Title or Position : OWNER
Name : MRS. MARIA S COLON
Credential :
Telephone Number : 407-249-8797
Provider Enumeration Date : 05/28/2005
Last Update Date : 08/22/2020

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Directions to “MARIA S COLON ” Practice Location

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