Individual
DR. WILFREDO LOPEZ-REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 COUNTY ROAD 17A W, AVON PARK, FL 33825-2164
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672
(866) 234-8534
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
10992
PR
207V00000X
Obstetrics & Gynecology Physician
ACN721
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
ME143401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016354000
—
FL
01
—
Z5XBO
BCBS
—
Enumeration date
09/25/2006
Last updated
06/17/2024
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