Organization
JORGE LOPEZ-CANINO, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA LOPEZCANINO (OFFICE MANAGER)
(305) 330-6692
Entity
Organization
Contact information
Practice address
15495 EAGLE NEST LN STE 245, MIAMI LAKES, FL 33014
(305) 330-6692
(305) 330-6686
Mailing address
16021 NW 79TH CT, MIAMI LAKES, FL 33016-6644
(305) 330-6692
(305) 330-6686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME123509
FL
Other
Enumeration date
06/30/2016
Last updated
06/06/2020
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