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Mary L. Daviglus
Clinic/Center in Orlando, Florida
NPI 1083726574

Mary L. Daviglus is a Clinic/Center based in Orlando, FL. Mary L. Daviglus practices in Orlando, FL. The NPI Number for Mary L. Daviglus is 1083726574 and holds a License No. ME0040734 (Florida).

The current practice location address for Mary L. Daviglus is 8751 Commodity Cir, Orlando, FL and can be reached out via phone at 407-964-1334 and via fax at 407-730-5917. You can also correspond with Mary L. Daviglus through the mailing address at 8751 COMMODITY CIR, ORLANDO, FL - 32819-9027 (mailing address contact number: 407-964-1334).

Location: 8751 Commodity Cir, Orlando, FL, 32819-9027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083726574
Provider Name
Mary L. Daviglus
Credential
Provider Entity Type
Organization
Address
8751 Commodity Cir, Orlando, FL, 32819-9027
Phone Number
407-964-1334
Fax Number
407-730-5917
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061862400 05 FL
institution
Provider Business Practice Location Address Details
Address
8751 Commodity Cir
City
Orlando
State
Florida
Zip
32819-9027
Phone Number
407-964-1334
Fax Number
407-730-5917
person
Provider Business Mailing Address Details
Address
8751 Commodity Cir
City
Orlando
State
Florida
Zip
32819-9027
Phone Number
407-964-1334
Fax Number
407-730-5917
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
ME0040734 (Florida)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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