Antonyrajah, Marie Angeline
Antonyrajah, Marie Angeline is an individual health care provider with primary practice located at 13535 Nemours Pkwy , Orlando FL 32827-7402. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Antonyrajah, Marie Angeline can be contacted via phone (407) 567-4000.Contact Information
Primary practice address
13535 Nemours Pkwy
Orlando FL 32827-7402
Phone: (407) 567-4000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME120640 | Florida |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME120640 | Florida |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | ME120640 | Florida |
Profile Details
NPI number | 1497043046 |
---|---|
LBN Legal business name | Antonyrajah, Marie Angeline |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2011 |
Last updated | Mar 13th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497043046 | NPPES |
Florida | MEDICAID | 014412800 |
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