person
Maria S Canonizado, PA
Medical Physician Assistant in Orlando, Florida
NPI 1801251368

Maria S Canonizado is a Medical Physician Assistant based in Orlando, FL and is specialized in Medical. Maria S Canonizado practices in Orlando, FL and has the professional credentials of PA. The NPI Number for Maria S Canonizado is 1801251368 and holds a License No. PA9109396 (Florida).

The current practice location address for Maria S Canonizado is 1222 S Orange Ave, Orlando, FL and can be reached out via phone at 407-351-5384 and via fax at 407-445-0321.

Location: 1222 S Orange Ave, Orlando, FL, 32806-1215
person
Provider Profile Details
NPI Number
1801251368
Provider Name
Maria S Canonizado
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1222 S Orange Ave, Orlando, FL, 32806-1215
Phone Number
407-351-5384
Fax Number
407-445-0321
Provider Enumeration Date
12/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016815800 05 FL
PA9109396 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1222 S Orange Ave
City
State
Zip
32806-1215
Phone Number
407-351-5384
Fax Number
407-445-0321
person
Provider Business Mailing Address Details
Address
1222 S Orange Ave
City
State
Zip
32806-1215
Phone Number
407-351-5384
Fax Number
407-445-0321
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9109396 (Florida)
Definition
Definition to come...
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