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Raquel Mascorro
Specialist in Port Orange, Florida
NPI 1477730570

Raquel Mascorro is a Specialist based in Fort Wayne, FL. Raquel Mascorro practices in Port Orange, FL. The NPI Number for Raquel Mascorro is 1477730570 and holds a License No. 32001513A (Florida).

The current practice location address for Raquel Mascorro is 5535 S Williamson Blvd, Port Orange, FL and can be reached out via phone at 800-330-7711.

Location: 5535 S Williamson Blvd, Port Orange, FL, 46803-2471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477730570
Provider Name
Raquel Mascorro
Credential
Provider Entity Type
Individual
Gender
Female
Address
5535 S Williamson Blvd, Port Orange, FL, 46803-2471
Phone Number
800-330-7711
Fax Number
Provider Enumeration Date
01/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5535 S Williamson Blvd
City
Port Orange
State
Florida
Zip
32128
Phone Number
800-330-7711
Fax Number
person
Provider Business Mailing Address Details
Address
5535 S Williamson Blvd
City
Port Orange
State
Florida
Zip
32128
Phone Number
800-330-7711
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
32001513A (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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