Individual
ISORA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16013 SW 63RD TER, MIAMI, FL 33193-5577
(305) 490-0220
(305) 383-0734
Mailing address
16013 SW 63RD TER, MIAMI, FL 33193-5577
(305) 490-0220
(305) 383-0734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA8538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890473100
—
FL
Enumeration date
10/14/2006
Last updated
07/09/2007
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