Individual
TATIANA L MALOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1317 EDGEWATER DR # 4142, ORLANDO, FL 32804-6350
(863) 224-7659
Mailing address
1317 EDGEWATER DR # 4142, ORLANDO, FL 32804-6350
(863) 224-7659
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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