Individual
ICEL LOPEZ-DELGADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2300 W 84TH ST STE 105, 2300 W 84 TH STREET SUITE 105, HIALEAH, FL 33016-5771
(786) 666-0507
(786) 666-0419
Mailing address
11031 NE 6TH AVE, 2300 W 84 TH STREET SUITE 105, HIALEAH, FL 33016-7182
(786) 666-0507
(786) 666-0419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/04/2006
Last updated
09/02/2016
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