Individual
RUTHMARIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7550 FUTURES DR STE 105, ORLANDO, FL 32819-9096
(407) 730-7983
Mailing address
1615 EMILY CT, KISSIMMEE, FL 34744-3743
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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