Individual
AMANDA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9750 NW 33RD ST STE 216, CORAL SPRINGS, FL 33065-4081
(954) 752-8446
Mailing address
565 PENTA CT, WESTON, FL 33327-2414
(954) 801-0942
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA9118549
FL
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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