Individual
MRS. LISA ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 PURUS ST, PUNTA GORDA, FL 33983-4226
(305) 951-5461
(941) 764-7229
Mailing address
86 PURUS ST, PUNTA GORDA, FL 33983-4226
(305) 951-5487
(941) 764-7229
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
FRC-0408-3194-00
FL
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230538100
—
FL
Enumeration date
05/16/2008
Last updated
08/23/2023
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