Individual
MR. ENRIQUE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1740 PALM AVE STE 4, HIALEAH, FL 33010-2673
(305) 885-0606
(305) 885-4333
Mailing address
1740 PALM AVE STE 4, HIALEAH, FL 33010-2673
(305) 885-0606
(305) 885-4333
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO 4836
FL
Other
Enumeration date
02/11/2007
Last updated
07/08/2007
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