Provider Demographics
NPI:1134420839
Name:TOWER, IRENE MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:IRENE
Middle Name:MARIA
Last Name:TOWER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:12363 W COLONIAL DR STE 120
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4186
Mailing Address - Country:US
Mailing Address - Phone:832-868-9830
Mailing Address - Fax:
Practice Address - Street 1:12363 W COLONIAL DR STE 120
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4186
Practice Address - Country:US
Practice Address - Phone:832-868-9830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME172347208600000X
CAA116059208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery