Individual
LOVELY ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
927 GLOUCESTER CT, KISSIMMEE, FL 34758-2609
(863) 205-0016
(407) 530-4278
Mailing address
927 GLOUCESTER CT, KISSIMMEE, FL 34758-2609
(863) 205-0016
(407) 530-4278
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906960
FL
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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