Organization
PALM PSYCHIATRIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELDA LOPEZ MD (OWNER/PRESIDENT)
(305) 598-8000
Entity
Organization
Contact information
Practice address
10631 N KENDALL DR, SUITE 125, MIAMI, FL 33176-1568
(305) 598-8000
Mailing address
10631 N KENDALL DR, SUITE 125, MIAMI, FL 33176-1568
(305) 598-8000
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
ME86541
FL
Other
Enumeration date
06/11/2009
Last updated
06/11/2009
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