Individual
LIZETH REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL 34983-8734
(863) 801-3217
Mailing address
201 NW 6TH ST, OKEECHOBEE, FL 34972-2514
(863) 801-3217
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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