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1326186990
MIGUEL LOPEZ
FORT LAUDERDALE, FL
NPI
1326186990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9101778)
Enumeration Date
2007-02-03
Last Update Date
2022-07-27
Business Address
Mr. MIGUEL LOPEZ PA
1601 S ANDREWS AVE FL 2
FORT LAUDERDALE, FL 33316-2509
Phone number: 954-522-3355
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Mailing Address
Mr. MIGUEL LOPEZ PA
1700 NW 49TH ST STE 125
FORT LAUDERDALE, FL 33309-3750
Phone number: 954-522-3355
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