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NPI Code Detail

MEDICARE: LA MADONE REGISTRY INC

MEDICARE: LA MADONE REGISTRY INC
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
1251E00000XHome Health Agency30211015FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881921518
Entity Type Code : Organization
Provider Name (Legal Business Name) : LA MADONE REGISTRY INC
Provider Business Mailing Address
First Line : 801 INTERNATIONAL PKWY STE 500
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-4763
Country : US
Telephone Number : 407-585-2040
Fax Number :
Provider Business Practice Location Address
First Line : 801 INTERNATIONAL PKWY STE 500
Second Line :
City : LAKE MARY
State : FL
Zip : 32746-4763
Country : US
Telephone Number : 407-585-2040
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. ODETTE CONSTANT
Credential :
Telephone Number : 407-585-2040
Provider Enumeration Date : 11/18/2009
Last Update Date : 11/18/2009

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Directions to “LA MADONE REGISTRY INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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