Individual
PETER VINCENT LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 S LAKEWOOD DR STE 101, BRANDON, FL 33511-5015
(813) 978-9700
(813) 558-6186
Mailing address
560 S LAKEWOOD DR STE 101, BRANDON, FL 33511-5015
(813) 978-9700
(813) 558-6186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME76340
FL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME76340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258811100
—
FL
01
—
MB781
MEDICARE FL
FL
Enumeration date
04/04/2006
Last updated
10/22/2025
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