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Organization
MANUEL LOPEZ MD PA
Active
Organization
MANUEL LOPEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL LOPEZ M.D. (PRESIDENT)
(305) 283-3263
Entity
Organization
Contact information
Practice address
3684 TAMPA RD UNIT 3, OLDSMAR, FL 34677
(727) 786-5587
Mailing address
3684 TAMPA RD UNIT 3, OLDSMAR, FL 34677-6351
(813) 818-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81940
FL
Other
Enumeration date
07/18/2007
Last updated
06/16/2019
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