Individual
JESSICA EMILIE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
11735 SW 147TH AVE, STE 16, MIAMI, FL 33196-3312
(786) 953-8200
(786) 953-8647
Mailing address
11735 SW 147TH AVE, STE 16, MIAMI, FL 33196-3312
(786) 953-8200
(786) 953-8647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4808
FL
Other
Enumeration date
09/23/2013
Last updated
03/05/2024
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