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Organization
MARISSA ESTIVA-MAGSINO MDPA
Active
Organization
MARISSA ESTIVA-MAGSINO MDPA
Active
Other names
metrowest internal medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA ESTIVA MAGSINO MD (PRESIDENT)
(407) 292-6778
Entity
Organization
Contact information
Practice address
1507 S HIAWASSEE RD, SUITE 115, ORLANDO, FL 32835-5706
(407) 292-6778
Mailing address
PO BOX 2965, WINDERMERE, FL 34786-2965
(407) 292-6778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME72766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K7670
MEDICARE GROUP NUMBER
FL
Enumeration date
01/27/2006
Last updated
11/09/2007
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