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Individual

DR. FRANK ANTOLIN LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1992 MIZELL AVE, WINTER PARK, FL 32792-4117
(407) 644-4844
(407) 644-6101
Mailing address
121 S PHELPS AVE, WINTER PARK, FL 32789-5200
(407) 678-1822
(407) 644-6101

Taxonomy

Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
ME54457
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0407010400
FL
Enumeration date
03/12/2007
Last updated
07/09/2007
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