Individual
CRISTIAN M LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6950 CYPRESS RD STE 222, PLANTATION, FL 33317-2370
(305) 934-4787
Mailing address
6950 CYPRESS RD STE 222, PLANTATION, FL 33317-2370
(305) 934-4787
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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