Individual
DAYLIE D LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 MEMORIAL MEDICAL PARKWAY, PALM COAST, FL 32164
(386) 586-2000
Mailing address
PO BOX 452317, SUNRISE, FL 33345
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME101386
FL
Other
Enumeration date
10/15/2007
Last updated
12/10/2008
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