Individual
JORGE LOPEZ DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 W FLAGLER ST, MIAMI, FL 33135-1425
(305) 631-0660
Mailing address
7200 CORPORATE CENTER DR, STE 600, MIAMI, FL 33126-1200
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA65151
FL
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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