Individual
DR. MARIA ELENA DUMALAOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
414 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 841-7290
(407) 636-7800
Mailing address
414 N MILLS AVE, ORLANDO, FL 32803-5722
(407) 841-7290
(407) 636-7800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
77853
FL
208000000X
Pediatrics Physician
Primary
ME77853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005624000
—
FL
01
—
62150
BCBS OF FL
—
Enumeration date
08/20/2006
Last updated
06/30/2020
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