Balboa Lopez, Omar

Balboa Lopez, Omar is an sole proprietor health care provider with primary practice located at 3661 S Miami Ave Suite 708, Miami FL 33133-4236. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as his primary health care specialty. Balboa Lopez, Omar can be contacted via phone (305) 858-9879.

Contact Information

Primary practice address
3661 S Miami Ave Suite 708 Miami FL 33133-4236
Phone: (305) 858-9879
Fax: (305) 856-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 10176 Florida

Profile Details

NPI number 1467769505
LBN Legal business name Balboa Lopez, Omar
Credentials CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 10th, 2010
Last updated Sep 10th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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