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Individual

JUAN PINEDA LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
5564 E GRANT STREET, ORLANDO, FL 32822-5301
(321) 235-6230
(321) 235-6246
Mailing address
5564 E. GRANT STREET, ORLANDO, FL 32822-5301
(321) 235-6230
(321) 235-6246

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
18959
PR
208D00000X
General Practice Physician
Primary
ACN683
FL

Other

Enumeration date
08/17/2015
Last updated
01/11/2017
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