Provider Demographics
NPI:1568022135
Name:MINOTT, MARJORIE ALSINA
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:ALSINA
Last Name:MINOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MINNESOTA WOODS LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-8683
Mailing Address - Country:US
Mailing Address - Phone:407-237-9893
Mailing Address - Fax:
Practice Address - Street 1:210 MINNESOTA WOODS LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-8683
Practice Address - Country:US
Practice Address - Phone:407-237-9893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant