Individual
EDGARDO A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1150 N 35TH AVE STE 670, HOLLYWOOD, FL 33021-5435
(954) 267-1700
(954) 276-0623
Mailing address
2900 CORPORATE WAY # D, MIRAMAR, FL 33025-3925
(954) 276-5685
(954) 985-7074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9333288
FL
Other
Enumeration date
05/29/2018
Last updated
03/02/2026
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