Organization
MARY L. DAVIGLUS
Active
Other names
Mary L. Daviglus, M.D.,P.A.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY L DAVIGLUS M.D.,P.A. (ANESTHESIOLOGIST)
(407) 240-6323
Entity
Organization
Contact information
Practice address
8751 COMMODITY CIR, SUITE 16, ORLANDO, FL 32819-9027
(407) 964-1334
(407) 730-5917
Mailing address
8751 COMMODITY CIR, SUITE 16, ORLANDO, FL 32819-9027
(407) 964-1334
(407) 730-5917
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME0040734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061862400
—
FL
Enumeration date
08/31/2006
Last updated
07/16/2012
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