Individual
MAXIMO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
850 SW 2ND AVE UNIT 1702, MIAMI, FL 33130-3599
(786) 866-9727
Mailing address
850 SW 2ND AVE UNIT 1702, MIAMI, FL 33130-3599
(786) 866-9727
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
40187
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004438800
—
FL
Enumeration date
09/30/2009
Last updated
09/12/2018
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