Individual
MARICELIS MORALES- COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1962 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3221
(866) 218-1211
(407) 809-5245
Mailing address
1962 N JOHN YOUNG PKWY, KISSIMMEE, FL 34741-3221
(866) 218-1211
(407) 809-5245
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14430
PR
208D00000X
General Practice Physician
Primary
ACN 434
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005570400
—
FL
Enumeration date
07/11/2006
Last updated
06/03/2015
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