WILSON LOPEZ

DORAL, FL
NPI1568492528
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: FL  ME89966)
Enumeration Date2006-07-04
Last Update Date2021-06-30
Business Address
WILSON LOPEZ
3155 NW 82ND AVE STE 102
DORAL, FL 33122-1056
Phone number: 305-591-2988
Mailing Address
WILSON LOPEZ
3155 NW 82ND AVE STE 102
DORAL, FL 33122-1056
Phone number: 305-591-2988