# M I LOPEZ MD, PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346527470
- **Authorized official:** DR. MARIA I LOPEZ M.D. (PRESIDENT)
- **Authorized official phone:** (386) 672-8101

## Contact information

- **Practice address:** 305 MEMORIAL MEDICAL PKWY, SUITE 303, DAYTONA BEACH, FL 32117-5168
- **Practice address phone:** (386) 672-8101
- **Practice address fax:** (386) 672-8102
- **Mailing address:** 305 MEMORIAL MEDICAL PARKWAY, SUITE 303, DAYTONA BEACH, FL 32117
- **Mailing address phone:** (386) 672-8101
- **Mailing address fax:** (386) 672-8102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2011
- **Last updated:** 11/03/2011