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NPI Code Detail

MEDICARE: MARCIO F ORELLANA

MEDICARE:   MARCIO F ORELLANA
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
1183500000XPharmacistPS39798FL

General Provider Information

NPI Number : 1841577178
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIO F ORELLANA
Provider Business Mailing Address
First Line : 208 REDWOOD BARK TRAIL
Second Line :
City : KISSIMMEE
State : FL
Zip : 34758
Country : US
Telephone Number : 407-933-7652
Fax Number :
Provider Business Practice Location Address
First Line : 3595 SW 22ND STREET
Second Line :
City : MIAMI
State : FL
Zip : 33145
Country : US
Telephone Number : 305-444-8349
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2011
Last Update Date : 11/15/2011

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Directions to “ MARCIO F ORELLANA ” Practice Location

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