MEDICARE: DR. IRENE MARIA TOWER M.D.

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	208600000X	Surgery Physician	ME172347	FL
2	208600000X	Surgery Physician	A116059	CA

General Provider Information

NPI Number	:	1134420839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IRENE MARIA TOWER M.D.

Provider Business Mailing Address
First Line	:	12363 W COLONIAL DR STE 120
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4186
Country	:	US
Telephone Number	:	832-868-9830
Fax Number	:

Provider Business Practice Location Address
First Line	:	12363 W COLONIAL DR STE 120
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4186
Country	:	US
Telephone Number	:	832-868-9830
Fax Number	:

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

Provider Enumeration Date	:	11/11/2010
Last Update Date	:	10/14/2025

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