Individual
MISS MARYANN MACARAEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1729 DAVID WALKER RD, TAVARES, FL 32778
(352) 253-9100
(352) 253-0126
Mailing address
1729 DAVID WALKER RD, TAVARES, FL 32778
(352) 253-9100
(352) 253-0126
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT23912
FL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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