Organization
LOPEZ MENTAL HEALTH LLC
Active
Other names
MindFaro Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR O LOPEZ DE CASTRO MD (OWNER)
(813) 279-1364
Entity
Organization
Contact information
Practice address
12610 HENDERSON RD STE 4, STE 1003, TAMPA, FL 33625-6548
(813) 279-1364
Mailing address
12610 HENDERSON RD STE 4, STE 1003, TAMPA, FL 33625-6548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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