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Organization

LP MEDICAL CENTER, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEDRO LOPEZ (PRESIDENT)
(305) 819-8094
Entity
Organization

Contact information

Practice address
4058 W 12TH AVE, HIALEAH, FL 33012-4106
(305) 819-8094
(305) 819-8128
Mailing address
4058 W 12TH AVE, HIALEAH, FL 33012-4106
(305) 819-8094
(305) 819-8128

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
HCC4034
FL

Other

Enumeration date
06/05/2012
Last updated
06/05/2012
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