Individual
REGINA MARCANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
16624 LAKE SMITH RD, UMATILLA, FL 32784-8838
(407) 205-5515
(352) 669-0572
Mailing address
16632 LAKE SMITH RD, UMATILLA, FL 32784-8838
(407) 205-5515
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13936
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125712800
—
FL
Enumeration date
04/23/2025
Last updated
04/23/2025
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