Individual
MRS. LISIANE SANTOS VARGAS NOGUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14177 LAKE NONA BLVD # 15, ORLANDO, FL 32824-7421
(689) 292-5952
Mailing address
13581 MCMILLAN DR, ORLANDO, FL 32827-4008
(407) 601-8992
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
48-44-2670141
FL
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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