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NPI Code Detail

MEDICARE: MARC MAGGIO

MEDICARE:   MARC  MAGGIO
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
1235Z00000XSpeech-Language PathologistSA21232FL

General Provider Information

NPI Number : 1437901758
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC MAGGIO
Provider Business Mailing Address
First Line : 15186 SOUTHERN MARTIN ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-4872
Country : US
Telephone Number : 561-809-4116
Fax Number :
Provider Business Practice Location Address
First Line : 3200 PLEASANT HILL RD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-3067
Country : US
Telephone Number : 561-809-4116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2024
Last Update Date : 04/02/2024

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Directions to “ MARC MAGGIO ” Practice Location

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