Individual
JOEL MAURY LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
18985 SW 307TH ST, HOMESTEAD, FL 33030-3830
(305) 548-9742
Mailing address
18985 SW 307TH ST, HOMESTEAD, FL 33030-3830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3207PA
PR
363AM0700X
Medical Physician Assistant
3207PA
PR
Other
Enumeration date
08/01/2026
Last updated
08/01/2026
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