Individual
MRS. MAYRA LA PAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 E VINE ST STE J, KISSIMMEE, FL 34744-3728
(407) 329-3464
Mailing address
10948 PRAIRIE HAWK DR, ORLANDO, FL 32837-8128
(407) 690-2282
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
FL
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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