Organization
FLAGLER MEDICAL CHOICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL GASPAR LOPEZ LMT (PRESIDENT)
(786) 275-9960
Entity
Organization
Contact information
Practice address
6781 W FLAGLER ST, MIAMI, FL 33144-2923
(786) 275-9960
Mailing address
6781 W FLAGLER ST, MIAMI, FL 33144-2923
(786) 275-9960
(786) 275-9965
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC10615
FL
Other
Enumeration date
04/15/2013
Last updated
08/07/2013
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