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Organization
JOSE IGNACIO LOPEZ, MD., PA
Active
Organization
JOSE IGNACIO LOPEZ, MD., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE IGNACIO LOPEZ MD (PRESIDENT)
(813) 890-8000
Entity
Organization
Contact information
Practice address
6101 WEBB RD, SUITE 209, TAMPA, FL 33615-2872
(813) 890-8000
(813) 886-0508
Mailing address
6101 WEBB RD, SUITE 209, TAMPA, FL 33615-2872
(813) 890-8000
(813) 886-0508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME82816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269738600
—
FL
Enumeration date
10/08/2014
Last updated
10/08/2014
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