Individual
MARIE MICKAELLE AUGUSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1421 MAGELLAN CIR, ORLANDO, FL 32818-6733
(321) 262-4447
Mailing address
1421 MAGELLAN CIR, ORLANDO, FL 32818-6733
(321) 262-4447
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2019
Last updated
09/21/2019
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