Individual
JOHN D LOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 W 1ST ST, SANFORD, FL 32771-1674
(407) 321-3040
(407) 321-3041
Mailing address
1750 BARCELONA WAY, WINTER PARK, FL 32789-5672
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME0045040
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69886500
—
FL
Enumeration date
10/14/2005
Last updated
10/05/2010
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