Organization
EVOLUTION HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS LOPEZ MAS MD (MEDICAL DIRECTOR)
(786) 660-2433
Entity
Organization
Contact information
Practice address
2450 SW 137TH AVE STE 206, MIAMI, FL 33175-6312
(786) 660-2433
(305) 551-1121
Mailing address
2450 SW 137TH AVE STE 206, MIAMI, FL 33175-6312
(786) 660-2433
(305) 551-1121
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME91433
FL
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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