Individual
ERNESTO CAMILO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2801 NE 183RD ST APT 1808, AVENTURA, FL 33160-2133
(786) 972-2316
Mailing address
2801 NE 183RD ST APT 1808, AVENTURA, FL 33160-2133
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11008964
FL
Other
Enumeration date
01/10/2021
Last updated
01/17/2021
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