Provider Demographics
NPI:1215187604
Name:ILAGAN, MARIA PATRICIA M (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA PATRICIA
Middle Name:M
Last Name:ILAGAN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1201 LOUISIANA AVE
Mailing Address - Street 2:SUITE E
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-2340
Mailing Address - Country:US
Mailing Address - Phone:407-644-2990
Mailing Address - Fax:407-644-4370
Practice Address - Street 1:1201 LOUISIANA AVE
Practice Address - Street 2:SUITE E
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-2340
Practice Address - Country:US
Practice Address - Phone:407-644-2990
Practice Address - Fax:407-644-4370
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME97368207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine