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NPI Code Detail

MEDICARE: MARIA LORENA ESTRADA

MEDICARE: MARIA LORENA ESTRADA
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
1156FX1800XOpticianFL

General Provider Information

NPI Number : 1487506465
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA LORENA ESTRADA
Provider Business Mailing Address
First Line : 4444 W VINE ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5315
Country : US
Telephone Number : 407-397-0010
Fax Number : 407-397-9231
Provider Business Practice Location Address
First Line : 4444 W VINE ST
Second Line :
City : KISSIMMEE
State : FL
Zip : 34746-5315
Country : US
Telephone Number : 407-397-0010
Fax Number : 407-397-9231
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ MARIA LORENA ESTRADA ” Practice Location

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