Individual
LUIS J LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 N HABANA AVE, SUITE 701, TAMPA, FL 33614-7160
(813) 324-5888
(813) 374-8891
Mailing address
4700 N HABANA AVE, SUITE 701, TAMPA, FL 33614-7160
(813) 324-5888
(813) 374-8891
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME93505
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275993400
—
FL
Enumeration date
09/02/2006
Last updated
04/07/2016
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