Individual
KATIUSKA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4117 CORTEZ BLVD, SEBRING, FL 33872-1930
(305) 987-2700
(863) 658-2043
Mailing address
5522 GRANADA BLVD, SEBRING, FL 33872-2327
(305) 987-2700
(863) 451-5318
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
FL
Other
Enumeration date
11/18/2019
Last updated
11/21/2023
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