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Individual

MR. ALBARO LOPEZ PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
1824 KING ST, STE 200, JACKSONVILLE, FL 32204
(904) 384-3343
(904) 400-6671

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9109900
FL
363AS0400X
Surgical Physician Assistant
PA9109900
FL

Other

Enumeration date
10/14/2016
Last updated
04/25/2025
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