Individual
JOSEPH LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 E PRINCETON ST STE 104, ORLANDO, FL 32803-1435
(407) 821-3655
Mailing address
615 E PRINCETON ST STE 104, ORLANDO, FL 32803-1435
(407) 821-3655
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
1.065132
CT
208200000X
Plastic Surgery Physician
ME156871
FL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
ME156871
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2013
Last updated
01/30/2023
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