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Individual

MAYLIN NICOLE MADRID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5787 VINELAND RD, SUITE 104, ORLANDO, FL 32819-7804
(407) 354-3906
Mailing address
6917 SEA CORAL DR, APT 104, ORLANDO, FL 32821-8024
(786) 316-6143

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26497
FL

Other

Enumeration date
04/28/2017
Last updated
04/28/2017
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