Individual
DR. BRANDON LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, DEPARTMENT OF ANESTHESIOLOGY, GAINESVILLE, FL 32610-3003
(352) 265-0077
Mailing address
PO BOX 100254, DEPARTMENT OF ANESTHESIOLOGY, GAINESVILLE, FL 32610-0254
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME127692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018302500
—
FL
Enumeration date
04/19/2011
Last updated
12/06/2016
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