Individual
MARYANN KILGALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3218 E COLONIAL DR STE G, ORLANDO, FL 32803-5125
(689) 217-5093
Mailing address
3218 E COLONIAL DR STE G, ORLANDO, FL 32803-5125
(689) 217-5093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/20/2023
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