PAVEL MIGUEL LOPEZ TELLERIA

HIALEAH, FL
NPI1952907669
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  11010476)
Enumeration Date2020-12-08
Last Update Date2020-12-08
Business Address
PAVEL MIGUEL LOPEZ TELLERIA APRN
9317 NW 114TH LN
HIALEAH, FL 33018-4269
Phone number: 786-333-6845
Mailing Address
PAVEL MIGUEL LOPEZ TELLERIA APRN
9317 NW 114TH LN
HIALEAH, FL 33018-4269
Phone number: 786-333-6845