Individual
MS. MIRIAN E LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2295 VICTORIA AVE, SUITE 112, FORT MYERS, FL 33901-3884
(239) 461-7633
(239) 461-7639
Mailing address
9800 S HEALTHPARK DR, SUITE 410, FORT MYERS, FL 33908-7603
(239) 433-6760
(239) 433-6766
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN9172308
FL
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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