Organization
LIGHT & WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS LOPEZ MAS MD (MEDICAL DIRECTOR)
(786) 393-0457
Entity
Organization
Contact information
Practice address
2711 SW 137TH AVE, STE 85, MIAMI, FL 33175-6359
(786) 393-0457
(305) 551-1121
Mailing address
2711 SW 137TH AVE, STE 85, MIAMI, FL 33175-6359
(786) 393-0457
(305) 551-1121
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
ME91436
FL
Other
Enumeration date
01/10/2014
Last updated
02/13/2014
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