Healthcare Provider Details

I. General information

NPI: 1427841956
Provider Name (Legal Business Name): MARIANGELIKA LLAMOZAS ROSARIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8474 NEMOURS PKWY
ORLANDO FL
32827-7755
US

IV. Provider business mailing address

8474 NEMOURS PKWY
ORLANDO FL
32827-7755
US

V. Phone/Fax

Practice location:
  • Phone: 689-200-3248
  • Fax:
Mailing address:
  • Phone: 689-200-3248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number73710114
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: