Individual
MR. BORIS LUIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
810 W 37TH ST, HIALEAH, FL 33012-5168
(305) 300-7261
Mailing address
810 W 37TH ST, HIALEAH, FL 33012-5168
(305) 300-7261
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11002162
FL
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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