Diaz-Colon, Magda Ivelisse

Diaz-Colon, Magda Ivelisse is an sole proprietor health care provider with primary practice located at 9549 Trulock Ct , Orlando FL 32817-4718. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist is her primary health care specialty. Diaz-Colon, Magda Ivelisse can be contacted via phone (407) 303-2559.

Contact Information

Primary practice address
9549 Trulock Ct Orlando FL 32817-4718
Phone: (407) 303-2559
Fax: (407) 303-2768
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PS23072 Florida
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PU5772 Florida

Profile Details

NPI number 1619303609
LBN Legal business name Diaz-Colon, Magda Ivelisse
Credentials R.PH.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2013
Last updated Sep 23rd, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619303609 NPPES
Florida Other 270969 NABP
Florida Other PS23072 NABP
Florida Other PU5772 NABP

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