Individual
MR. GUILLERMO LORENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5555 E MICHIGAN ST STE 103, ORLANDO, FL 32822-2700
(407) 456-2977
(407) 745-4688
Mailing address
5555 E MICHIGAN ST STE 103, ORLANDO, FL 32822-2700
(407) 456-2977
(407) 745-4688
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
9100415
FL
364SA2200X
Adult Health Clinical Nurse Specialist
9100415
FL
Other
Enumeration date
10/28/2007
Last updated
01/09/2020
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