Individual
OLGA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
30334 OLD DIXIE HWY, HOMESTEAD, FL 33033-3215
(786) 243-0149
(786) 243-2612
Mailing address
30334 OLD DIXIE HIGHWAY, HOMESTEAD, FL 33033
(786) 243-0149
(786) 243-2612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103866
FL
Other
Enumeration date
03/06/2007
Last updated
07/07/2009
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