Individual
DR. CARLOS ALBERTO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 PEACHWOOD DR, DELAND, FL 32720-0902
(386) 943-7160
Mailing address
2501 N ORANGE AVE STE 182, ORLANDO, FL 32804-4675
(407) 303-2030
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
12274
NV
2085R0001X
Radiation Oncology Physician
Primary
ME107663
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063531473
—
NV
Enumeration date
03/28/2007
Last updated
01/17/2023
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