Individual
MISS MARISOL LOZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3305 S ORANGE AVE, ORLANDO, FL 32806-6125
(407) 852-3310
Mailing address
7540 SAND LAKE POINTE LOOP, APT #302, ORLANDO, FL 32809-7213
(407) 854-9443
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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