Individual
DAVID LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
950 NW 20TH ST, MIAMI, FL 33127-4622
(305) 237-4141
Mailing address
13966 SW 258TH WAY, HOMESTEAD, FL 33032-6699
(305) 316-7856
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9119132
FL
Other
Enumeration date
09/11/2024
Last updated
09/18/2024
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