Individual
LOURDES MENOSCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 W STATE ROAD 84 STE 206, DAVIE, FL 33324-4235
(954) 634-3636
Mailing address
8371 ROYAL PALM BLVD, CORAL SPRINGS, FL 33065-5754
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021630400
—
FL
Enumeration date
12/27/2010
Last updated
10/25/2019
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