Individual
DR. TYRONE J LOPEZ DAVILA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1490 NW 27TH AVE STE 130, MIAMI, FL 33125-2173
(305) 635-7710
(786) 621-7817
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 621-7817
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
020572
PR
208D00000X
General Practice Physician
Primary
ACN546
FL
Other
Enumeration date
05/17/2013
Last updated
04/19/2022
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