Raquel Mascorro
NPI #1477730570 in Port Orange, Florida
Provider Information
- NPI Number
- 1477730570
- Entity Type
- Individual
- Name
- Raquel Mascorro
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 31, 2008
- Last Updated
- Feb 6, 2013
Practice Location
- Address
- 5535 S WILLIAMSON BLVD
- Address 2
- SUITE 774
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32128
- Phone
- (800) 330-7711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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