Individual
COLLEEN MARIE CANGIALOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11019 INSIDE LOOP, ORLANDO, FL 32825-8887
(407) 970-8414
Mailing address
11019 INSIDE LOOP, ORLANDO, FL 32825-8887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11015866
FL
Other
Enumeration date
10/09/2021
Last updated
10/09/2021
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