Individual
IRIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14036 COLONIAL GRAND BLVD, SUITE 0810, ORLANDO, FL 32837-4825
(939) 319-9258
(407) 812-4358
Mailing address
4036 COLONIAL GRANDE BLVD, APARTMENT 0810, ORLANDO, FL 32837
(939) 319-9258
(407) 812-4358
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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