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Individual

MISS CARA JOY LOZANO GRANADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(407) 322-3442
Mailing address
1112 PARK GREEN PL, WINTER PARK, FL 32789-1995
(352) 895-4985

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33376
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68667
MEDICARE
FL
Enumeration date
05/08/2018
Last updated
05/08/2018
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