Provider Demographics
NPI:1417378480
Name:NELINDA LOPEZ DC PA
Entity Type:Organization
Organization Name:NELINDA LOPEZ DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NELINDA
Authorized Official - Middle Name:LOPEZ
Authorized Official - Last Name:MELO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-608-5500
Mailing Address - Street 1:11200 PINES BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026-4139
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty