# FEDERAL BUREAU OF PRISONS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DEPARTMENT OF JUSTICE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881065662
- **Legal business name:** DEPARTMENT OF JUSTICE
- **Authorized official:** DR. HECTOR LOPEZ MD (CLINICAL DIRECTOR)
- **Authorized official phone:** (352) 689-7332

## Contact information

- **Practice address:** 2801 FALCON RDG, CLERMONT, FL 34711-5892
- **Practice address phone:** (352) 243-8998
- **Mailing address:** 2801 FALCON RDG, CLERMONT, FL 34711-5892
- **Mailing address phone:** (352) 243-8998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 133531-1 | NY | Yes |

## Other

- **Enumeration date:** 10/19/2015
- **Last updated:** 10/19/2015