Organization
PROTEAN BIODIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY M MAGLIOCCO MD (PRESIDENT AND CEO)
(754) 242-9682
Entity
Organization
Contact information
Practice address
6555 SANGER RD STE 232, ORLANDO, FL 32827-7585
(542) 429-6827
(877) 764-7628
Mailing address
7573 LAUREATE BLVD UNIT 1307, ORLANDO, FL 32827-7826
(754) 732-6187
(877) 764-7628
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
12/02/2021
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