Individual
LIUVITZA LOPEZ MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 ADAIR CT, TAMPA, FL 33626-2689
(813) 318-2586
Mailing address
12301 ADAIR CT, TAMPA, FL 33626-2689
(813) 318-2586
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/05/2022
Last updated
01/07/2024
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