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Individual

MARISELLY MEDINA-IRIZARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8803 FUTURES DR STE 7, ORLANDO, FL 32819-9076
(407) 219-5936
(407) 480-3455
Mailing address
8803 FUTURES DR STE 7, ORLANDO, FL 32819-9076
(407) 219-5936
(407) 480-3455

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME93134
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME93134
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME93134
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
U5089W
MEDICARE
FL
Enumeration date
01/12/2006
Last updated
02/10/2012
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