MEDICARE: MS. DORIS A DEGAGLIA

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	247200000X	Other Technician

General Provider Information

NPI Number	:	1730017799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DORIS A DEGAGLIA

Provider Business Mailing Address
First Line	:	3546 KEYWORTH ST
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-0003
Country	:	US
Telephone Number	:	352-771-6035
Fax Number	:

Provider Business Practice Location Address
First Line	:	907 OUTER RD STE B
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6601
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:	772-675-9100

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

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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Directions to “ MS. DORIS A DEGAGLIA ” Practice Location

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