Individual
MARCO A GODOY LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6210 W COLONIAL DR STE 100, ORLANDO, FL 32808-7504
(407) 931-0444
(407) 962-4446
Mailing address
931 W OAK ST STE 103, KISSIMMEE, FL 34741-4973
(407) 931-0444
(407) 962-4446
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
11230
PR
208D00000X
General Practice Physician
Primary
ACN1380
FL
Other
Enumeration date
01/03/2006
Last updated
11/02/2021
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