Individual
ELBA IRIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
33501 S DIXIE HWY, FLORIDA CITY, FL 33034-5628
(305) 242-4101
(305) 242-4183
Mailing address
14252 SW 18TH ST, MIAMI, FL 33175-7063
(786) 343-8584
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3022
FL
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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