Individual
SUE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2400 FOXHAVEN DR W, JACKSONVILLE, FL 32224-2021
(504) 717-9858
Mailing address
2400 FOXHAVEN DR W, JACKSONVILLE, FL 32224-2021
(504) 717-9858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9521822
FL
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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