Individual
RAIZEL LOPEZ-SUBERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10100 TAWNY MEADOW ALY, WINTER GARDEN, FL 34787-4474
(305) 414-9161
(786) 906-0922
Mailing address
10100 TAWNY MEADOW ALY, WINTER GARDEN, FL 34787-4474
(305) 414-9161
(786) 906-0922
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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