Individual
ESTER LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8080 W FLAGLER ST, STE. 1A, MIAMI, FL 33144-2100
(786) 615-2640
Mailing address
8080 W FLAGLER ST, STE. 1A, MIAMI, FL 33144-2100
(786) 615-2640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HCC10677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC10677
AHCA LICENSE
FL
Enumeration date
06/22/2016
Last updated
06/22/2016
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