Individual
SYDNEY MARIE MCCOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 BURNSED PL, SUITE 1020, OVIEDO, FL 32765-6695
(407) 971-3898
Mailing address
4113 PECAN LN, ORLANDO, FL 32812-7994
(407) 965-6082
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA 45546
FL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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