Organization
LOPEZ MEDICAL PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA E LOPEZ M.D. (PRESIDENT)
(305) 643-6447
Entity
Organization
Contact information
Practice address
351 NW 42ND AVE, SUITE 403, MIAMI, FL 33126-5683
(305) 643-6447
(305) 541-5801
Mailing address
PO BOX 651555, MIAMI, FL 33265-1555
(305) 643-6447
(305) 541-5801
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME89435
FL
Other
Enumeration date
06/29/2007
Last updated
04/20/2008
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