Organization
INTEGRATIVE BIOREGULATORY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CELESTINO LOPEZ AP (PRESIDENT)
(786) 284-0117
Entity
Organization
Contact information
Practice address
7480 FAIRWAY DR, SUITE 108, MIAMI LAKES, FL 33014-6879
(786) 284-0117
Mailing address
7480 FAIRWAY DR, SUITE 108, MIAMI LAKES, FL 33014-6879
(786) 284-0117
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP355
FL
Other
Enumeration date
07/11/2013
Last updated
07/11/2013
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