Organization
PRESERVERS OF DESTINIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL LUGO (PRESIDENT)
(407) 429-1144
Entity
Organization
Contact information
Practice address
2102 COLE TRL, KISSIMMEE, FL 34743-3720
(407) 429-1144
Mailing address
1156 E VINE ST, KISSIMMEE, FL 34744-3579
(407) 429-1144
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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