Individual
ARIEL CORDOVA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 284-7500
Mailing address
7123 W 4TH WAY, HIALEAH, FL 33014-4961
(786) 715-5712
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11028709
FL
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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