Individual
MRS. MARIA DISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN-BC
Contact information
Practice address
5201 RAYMOND ST, ORLANDO VA MEDICAL CENTER BLDG.513 CU-52, ORLANDO, FL 32803-8208
(407) 646-5124
Mailing address
5201 RAYMOND ST, ORLANDO VA MEDICAL CENTER BLDG.513 CU-52, ORLANDO, FL 32803-8208
(407) 646-5124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9191588
FL
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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