Organization
BANYAN HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO JAVIER LOPEZ JR. M.S.W. (THERAPIST)
(305) 781-7265
Entity
Organization
Contact information
Practice address
11031 NE 6TH AVE, MIAMI, FL 33161-7182
(786) 293-9544
Mailing address
310 FONTAINEBLEAU BLVD APT 505, MIAMI, FL 33172-5726
(305) 781-7265
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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