Individual
MRS. VIOLETA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
403 MIDWAY RV PARK, HAINES CITY, FL 33844-8187
(407) 807-3860
Mailing address
3500 POSNER BVL, 1333, DAVENPORT, FL 33987
(407) 807-3860
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
RN9447137
FL
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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