Individual
MR. JOSE MANUEL LIZANO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6998 N US HIGHWAY 27 STE 105, OCALA, FL 34482-3998
(352) 732-2200
(844) 273-1663
Mailing address
6998 N US HIGHWAY 27 STE 105, OCALA, FL 34482-3998
(352) 732-2200
(844) 273-1663
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
FL
172A00000X
Driver
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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