# FAMILY &PEDIATRIC MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY & PEDIATRIC MEDICAL CENTER, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154991453
- **Legal business name:** FAMILY & PEDIATRIC MEDICAL CENTER, INC
- **Authorized official:** WILSON LOPEZ MD (PRESIDENT)
- **Authorized official phone:** (305) 591-2988

## Contact information

- **Practice address:** 14850 SW 26TH ST STE 108, MIAMI, FL 33185-5930
- **Practice address phone:** (305) 348-1586
- **Practice address fax:** (305) 591-2995
- **Mailing address:** 3155 NW 82ND AVE STE 102, DORAL, FL 33122-1056
- **Mailing address phone:** (305) 348-1586
- **Mailing address fax:** (305) 591-2995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2021
- **Last updated:** 07/30/2026