Provider Demographics
NPI:1063658664
Name:LOPEZ, NELINDA (DC)
Entity Type:Individual
Prefix:DR
First Name:NELINDA
Middle Name:
Last Name:LOPEZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9225 COLLINS AVE
Mailing Address - Street 2:APT 1110
Mailing Address - City:SURFSIDE
Mailing Address - State:FL
Mailing Address - Zip Code:33154-3046
Mailing Address - Country:US
Mailing Address - Phone:954-608-5500
Mailing Address - Fax:
Practice Address - Street 1:1000 LINCOLN RD
Practice Address - Street 2:SUITE 240
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-2500
Practice Address - Country:US
Practice Address - Phone:954-608-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-02
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor