Individual
LIZZETA ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MADEIRA KEY PLACE, ORLANDO, FL 32824
(407) 440-8879
Mailing address
1203 MADEIRA KEY PLACE, ORLANDO, FL 32824
(407) 440-8879
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
006579100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006579100
—
FL
Enumeration date
08/30/2013
Last updated
08/30/2013
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