Individual
MR. JOSE VALENTIN PADILLA-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13650 METROPOLIS AVENUE, SUITE 101, FORT MYERS, FL 33912
(239) 768-2111
(239) 768-2113
Mailing address
12550 PROFESSIONAL PARK DRIVE, SUITE 11, FORT MYERS, FL 33913
(239) 768-2111
(239) 482-4404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME60087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054789100
—
FL
Enumeration date
05/01/2006
Last updated
08/14/2013
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