Individual
MARILYN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2980 PARK POND WAY, KISSIMMEE, FL 34741-7660
(321) 230-8472
Mailing address
PO BOX 771453, ORLANDO, FL 32877-1453
(321) 230-8472
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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