# LOPEZ HEALTHCARE SERVICES CORP

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

## Provider details

- **NPI number:** 1740868066
- **Authorized official:** DIORGI LOPEZ SURI APRN (PRESIDENT)
- **Authorized official phone:** (866) 372-0308

## Contact information

- **Practice address:** 2624 ATLANTIC BLVD, JACKSONVILLE, FL 32207-3609
- **Practice address phone:** (904) 513-3240
- **Mailing address:** 6821 SOUTHPOINT DR N STE 107, JACKSONVILLE, FL 32216-8026
- **Mailing address phone:** (866) 372-0308
- **Mailing address fax:** (877) 460-4651

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2021
- **Last updated:** 10/05/2021