Individual
VILMA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 COVINGTON ST, OVIEDO, FL 32765-7079
(407) 497-5463
Mailing address
1126 COVINGTON ST, OVIEDO, FL 32765-7079
(407) 497-5463
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
853024084
MEDICAL TRANSPORTATION
FL
05
—
853024084
—
FL
Enumeration date
01/07/2021
Last updated
01/13/2021
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