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Organization
ROBERT LOPEZ EXTENDER PLUS, LLC
Active
Organization
ROBERT LOPEZ EXTENDER PLUS, LLC
Active
Parent organization
ROBERT LOPEZ EXTENDER PLUS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT LOPEZ EXTENDER PLUS, LLC
Authorized official
ROBERT LOPEZ PA-C (OWNER)
(754) 800-7730
Entity
Organization
Contact information
Practice address
4451 NE 30TH TER, LIGHTHOUSE POINT, FL 33064-7229
(754) 800-7730
Mailing address
4451 NE 30TH TER, LIGHTHOUSE POINT, FL 33064-7229
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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