Individual
MARIA AUXILIADORA LOPEZ PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
2531 CARRICKTON CIR, ORLANDO, FL 32824-4217
(407) 316-6465
Mailing address
2531 CARRICKTON CIR, ORLANDO, FL 32824-4217
(407) 316-6465
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-133
WI
Other
Enumeration date
02/13/2021
Last updated
02/13/2021
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