Individual
MR. JUAN J LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5207 W 24TH AVE, HIALEAH, FL 33016-4007
(305) 231-2035
(305) 231-2105
Mailing address
5207 W 24TH AVE, HIALEAH, FL 33016-4007
(305) 231-2035
(305) 231-2105
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4898
FL
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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