Individual
LISANDRA MACHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13801 CORRINE KEY PL, ORLANDO, FL 32824-5245
(407) 952-9611
Mailing address
13801 CORRINE KEY PL, ORLANDO, FL 32824-5245
(407) 952-9611
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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