Provider Demographics
NPI:1023420338
Name:MARLOR, JANE E (CO,LO)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:E
Last Name:MARLOR
Suffix:
Gender:F
Credentials:CO,LO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2909 N ORANGE AVE
Mailing Address - Street 2:SUITE 111
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32804-4639
Mailing Address - Country:US
Mailing Address - Phone:407-897-2112
Mailing Address - Fax:
Practice Address - Street 1:2909 N ORANGE AVE
Practice Address - Street 2:SUITE 111
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-4639
Practice Address - Country:US
Practice Address - Phone:407-897-2112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2014-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCO107222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist