Organization

Ana Marques P.A.

May also be knows as Lace Medical Services Llc

Legal Business Name

Ana Marques P.A.

Also Known As

Lace Medical Services Llc

NPI Number

1609027911

NPI Type

Organization

Enumeration Date

10/06/2008

Specialties

(Taxonomies)

Code

103K00000X
171M00000X
207Q00000X
207R00000X
106H00000X
101YM0800X
225X00000X
225100000X
104100000X

Primary Taxonomy

No
No
No
No
No
No
No
No
No

Contact
Information

Purpose

Mailing
Location

Address

17 18 OAK BREEZE AVE
17 18 OAK BREEZE AVE

City

Kissimmee
Kissimmee

State

FL
FL

Postal Code

34744
34744

Country

US
US

Telephone Number

(407) 460-3558
(407) 460-3558

Authorized Official

Name

Mrs. Ana Marques

Title or Position

OWNER

Telephone Number

(407) 460-3558

Identifiers

Identifier

000497400

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/15/2020

Provider Address