Individual
MARIELA LALUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
708 DEL PRADO BLVD S STE 6, CAPE CORAL, FL 33990-2661
(239) 424-2755
(239) 424-2756
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(393) 439-9602
(239) 343-9977
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
RN9402121
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11019808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114332900
—
FL
Enumeration date
04/22/2022
Last updated
08/05/2025
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