Individual
KATIE LUZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11300 NE 2ND AVE, MIAMI SHORES, FL 33161-6628
(305) 899-3000
Mailing address
330 SW 2ND AVE APT 10, HALLANDALE BEACH, FL 33009-6341
(786) 543-6555
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
9437377
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
1204988
TX
Other
Enumeration date
03/02/2023
Last updated
07/01/2025
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