Individual
DR. JENNIFER LOPEZ TROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
515 S KINGS AVE STE 3100, BRANDON, FL 33511-6060
(813) 681-9171
(813) 681-7580
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
BP10034305
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
ME116413
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010143200
—
FL
Enumeration date
07/16/2012
Last updated
06/23/2023
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