Individual
JESSICA MICHELLE LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
52 W UNDERWOOD ST, ORLANDO, FL 32806-1110
(321) 841-5111
Mailing address
2465 WESTMONT LN, ROYAL PALM BEACH, FL 33411-6137
(561) 254-1041
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA875
FL
Other
Enumeration date
08/28/2023
Last updated
10/25/2023
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