Provider Demographics
NPI:1184597874
Name:LORA, DAVID EDUARDO
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:EDUARDO
Last Name:LORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14702 SW 42ND WAY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33185-4300
Mailing Address - Country:US
Mailing Address - Phone:305-989-3237
Mailing Address - Fax:
Practice Address - Street 1:8765 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-1111
Practice Address - Country:US
Practice Address - Phone:305-740-6840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRPT105392183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician