Individual
MR. AMIR LIZARRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 HERITAGE CIR, PANAMA CITY BEACH, FL 32407-2703
(850) 230-9831
Mailing address
101 HERITAGE CIR, PANAMA CITY BEACH, FL 32407-2703
(850) 230-9831
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
L06000104299
FL
Other
Enumeration date
03/04/2007
Last updated
07/09/2007
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