Organization
DAVINA MEDICAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUISA M LOPEZ-LUCIANO M.D. (DOCTOR)
(305) 245-8787
Entity
Organization
Contact information
Practice address
151 NW 11TH ST, SUITE: E-304, HOMESTEAD, FL 33030-4360
(305) 245-8787
(305) 245-8778
Mailing address
151 NW 11TH ST, SUITE: E-304, HOMESTEAD, FL 33030-4360
(305) 245-8787
(305) 245-8778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME84057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME84057
ME #
FL
Enumeration date
05/16/2006
Last updated
03/07/2023
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