Healthcare Provider Details

I. General information

NPI: 1750339248
Provider Name (Legal Business Name): MS LOVING CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3750 WEST 16 AVE SUITE #206
HIALEAH FL
33010
US

IV. Provider business mailing address

3750 WEST 16 AVE SUITE #206
HIALEAH FL
33010
US

V. Phone/Fax

Practice location:
  • Phone: 305-274-2819
  • Fax: 305-278-7191
Mailing address:
  • Phone: 305-274-2819
  • Fax: 305-278-7191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License NumberMD054921
License Number StateFL

VIII. Authorized Official

Name: ANICHEL LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-274-2819