Individual
MAGALY MIGUELINA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 CASCADES AVE, DAVENPORT, FL 33837-7580
(407) 350-0551
Mailing address
1237 CASCADES AVE, DAVENPORT, FL 33837-7580
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
FL
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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