MEDICARE: NAGALYNE CAZY

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
1	246RP1900X	Phlebotomy Technician

General Provider Information

NPI Number	:	1003650680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAGALYNE CAZY

Provider Business Mailing Address
First Line	:	255 S ORANGE AVE STE 104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3411
Country	:	US
Telephone Number	:	321-804-2718
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 S ORANGE AVE STE 104
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32801-3411
Country	:	US
Telephone Number	:	321-804-2718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2024
Last Update Date	:	06/21/2024

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Directions to “ NAGALYNE CAZY ” Practice Location

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