Organization
SHERIDAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH LOPEZ (CRNA)
(305) 519-6553
Entity
Organization
Contact information
Practice address
14209 SW 54TH ST, MIAMI, FL 33175-5810
(305) 519-6553
Mailing address
14209 SW 54TH ST, MIAMI, FL 33175-5810
(305) 519-6553
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
RN9233902
FL
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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