Organization
C &D MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ANTONIO LOPEZ (PRESIDENT)
(305) 642-9340
Entity
Organization
Contact information
Practice address
3383 NW 7TH ST, 100, MIAMI, FL 33125-4140
(305) 642-9340
(305) 642-2499
Mailing address
3383 NW 7TH ST, 100, MIAMI, FL 33125-4140
(305) 642-9340
(305) 642-2499
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCC3866
EXEMPTION FROM AHCA
FL
Enumeration date
07/01/2006
Last updated
08/22/2020
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