Organization
CELESTINO LOPEZ OMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTINO LOPEZ OMD (PRESIDENT)
(786) 284-0117
Entity
Organization
Contact information
Practice address
900 W 49TH ST, SUITE 319, HIALEAH, FL 33012-3402
(786) 284-0117
(786) 558-9320
Mailing address
900 W 49TH ST, SUITE 319, HIALEAH, FL 33012-3402
(786) 284-0117
(786) 558-9320
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
AP355
FL
Other
Enumeration date
06/03/2015
Last updated
06/03/2015
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