Individual
MISS MARINA R LOFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 BLUESTONE AVE, SPRING HILL, FL 34609-2907
(813) 461-3900
Mailing address
3360 BLUESTONE AVE, SPRING HILL, FL 34609-2907
(813) 461-3900
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108257400
—
FL
Enumeration date
02/08/2021
Last updated
03/16/2021
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