Individual
DR. AMARILYS COLON TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5979 VINELAND RD STE 209, ORLANDO, FL 32819-7855
(407) 250-5030
(407) 250-5043
Mailing address
PO BOX 470159, CELEBRATION, FL 34747-0159
(787) 462-3807
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14341
PR
208D00000X
General Practice Physician
Primary
ACN867
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14341
PR LICENSE
PR
01
—
ACN867
FL MEDICAL LICENSE
FL
Enumeration date
03/08/2006
Last updated
06/14/2023
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