Organization
ADVANTGARDE IMPACTING LIVES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLEIX I LOPEZ MD (OWNER)
(321) 317-6199
Entity
Organization
Contact information
Practice address
375 N STATE ROAD 434 STE 207, ALTAMONTE SPRINGS, FL 32714-2256
(321) 317-6199
(407) 720-3042
Mailing address
1621 KERSLEY CIR, LAKE MARY, FL 32746-1925
(321) 317-6199
(407) 720-3042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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