Organization
L LOPEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARDO V LOPEZ MD (PRESIDENT)
(305) 446-7472
Entity
Organization
Contact information
Practice address
2601 SW 37TH AVE, SUITE 701, MIAMI, FL 33133-2700
(305) 446-7472
Mailing address
2601 SW 37TH AVE, SUITE 701, MIAMI, FL 33133-2700
(305) 446-7472
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
21513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058695100
—
FL
Enumeration date
05/24/2010
Last updated
07/15/2010
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