Individual
HERIBERTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
200 S PARK RD STE 200, HOLLYWOOD, FL 33021-8541
(888) 986-2263
Mailing address
12628 SW 21ST ST, MIRAMAR, FL 33027-2601
(239) 692-0761
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11021791
FL
Other
Enumeration date
01/08/2009
Last updated
04/25/2023
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