Individual
CARLOS OSMUNDO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2150 BAY DR APT 2, MIAMI BEACH, FL 33141-3479
(305) 491-7715
Mailing address
2150 BAY DR APT 2, MIAMI BEACH, FL 33141-3479
(305) 491-7715
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA31783
FL
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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