Individual
MR. CARLOS ALBERTO LOPEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
21610 SOUTHWOOD DR, LUTZ, FL 33549-4126
(813) 294-5546
(813) 354-3408
Mailing address
6421 N FLORIDA AVE # D1789, TAMPA, FL 33604-6007
(813) 294-5546
(813) 354-3408
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
224886
TN
Other
Enumeration date
07/10/2023
Last updated
07/12/2023
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