Organization
ANA MARQUES P.A.
Active
Parent organization
ANA MARQUES P.A.
Other names
LACE Medical Services LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANA MARQUES P.A.
Authorized official
MRS. ANA PAULA MARQUES APRN-C (OWNER)
(407) 460-3558
Entity
Organization
Contact information
Practice address
17 18 OAK BREEZE AVE, KISSIMMEE, FL 34744
(407) 460-3558
(321) 785-1299
Mailing address
17 18 OAK BREEZE AVE, KISSIMMEE, FL 34744
(407) 460-3558
(321) 785-1299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
207Q00000X
Family Medicine Physician
—
FL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
FL
225X00000X
Occupational Therapist
—
—
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000497400
—
FL
Enumeration date
10/06/2008
Last updated
01/15/2020
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