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Organization
CARLOS M LOPEZ MD PA
Active
Organization
CARLOS M LOPEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS M LOPEZ MD (OFFICER)
(352) 861-5765
Entity
Organization
Contact information
Practice address
1133 SE 18TH PL, SUITE #2, OCALA, FL 34471-5410
(352) 861-5765
(352) 867-1801
Mailing address
1133 S.E 18TH PLACE, SUITE #2, OCALA, FL 34471-5410
(352) 861-5765
(352) 867-1801
Taxonomy
Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
ME
FL
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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