Individual
MARIAN CEZAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3660 MAGUIRE BLVD STE 100, ORLANDO, FL 32803-3059
(407) 674-6870
Mailing address
645 BLAKE AVE, DAVENPORT, FL 33897-6207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5204932
FL
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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