Individual
AMBAR R MARIN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7727 LAKE UNDERHILL ROAD, ORLANDO, FL 32822
(939) 940-5924
Mailing address
10113 CANOPY TREE CT, ORLANDO, FL 32836-5942
(939) 940-5924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME144739
FL
Other
Enumeration date
03/22/2017
Last updated
06/19/2020
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