Individual
MR. MICHAEL LOPEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
(305) 953-2266
Mailing address
14750 NW 44TH CT, OPA LOCKA, FL 33054-2304
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/30/2005
Last updated
07/08/2007
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