Individual
MR. DOMINGO SILVANO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2 CIRCLE DR, HIALEAH, FL 33010-5206
(786) 291-1298
Mailing address
2 CIRCLE DR, HIALEAH, FL 33010-5206
(786) 291-1298
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
PN 5189681
FL
Other
Enumeration date
09/18/2007
Last updated
06/25/2013
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