Individual
DR. MARY L DAVIGLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,P.A.
Contact information
Practice address
3027 ZAHARIAS DR, ORLANDO, FL 32837-7025
(407) 240-6323
(407) 240-6323
Mailing address
3027 ZAHARIAS DR, ORLANDO, FL 32837-7025
(407) 240-6323
(407) 240-6323
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME40734
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53715
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/31/2006
Last updated
10/03/2007
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