Individual
MILDRED LOPEZ GARRIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A
Contact information
Practice address
6107 MEMORIAL HWY STE A, TAMPA, FL 33615-4564
(813) 514-2328
(813) 514-2485
Mailing address
8306 FLOWERFIELD DR, TAMPA, FL 33615-1825
(786) 454-6866
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108314
FL
Other
Enumeration date
10/15/2014
Last updated
07/07/2022
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