Individual
MRS. ANA MARY O LOPEZ CULI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
69 LONE PINE ST, HOMOSASSA, FL 34446-5741
(352) 382-0943
Mailing address
69 LONE PINE ST, HOMOSASSA, FL 34446-5741
(352) 382-0943
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT10151
FL
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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