OMAR BALBOA LOPEZ

MIAMI, FL
NPI1467769505
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other Surgical Technologist
(Licence: FL  10176)
Enumeration Date2010-09-10
Last Update Date2010-09-10
Business Address
OMAR BALBOA LOPEZ CSA
3661 S MIAMI AVE SUITE 708
MIAMI, FL 33133-4236
Phone number: 305-858-9879
Mailing Address
OMAR BALBOA LOPEZ CSA
3661 S MIAMI AVE SUITE 708
MIAMI, FL 33133-4236
Phone number: 305-858-9879