Individual
DAISY LOPEZ HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
18960 SW 136TH CT, MIAMI, FL 33177-7175
(305) 467-2686
Mailing address
18960 SW 136TH CT, MIAMI, FL 33177-7175
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11038558
FL
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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