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Organization
JOSE L LOPEZ GUTIERREZ MD PA
Active
Organization
JOSE L LOPEZ GUTIERREZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LUIS LOPEZ GUTIERREZ MD (PRESIDENT)
(210) 542-0010
Entity
Organization
Contact information
Practice address
2562 SW 27TH AVE, CAPE CORAL, FL 33914-3833
(239) 542-0010
Mailing address
2562 SW 27TH AVE, CAPE CORAL, FL 33914-3833
(239) 542-0010
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME92874
FL
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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