Individual
JOSE ANTONIO LOZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, CSFA, OPA-C
Contact information
Practice address
1 UNIVERSITY BLVD, UNIVERSITY OF SAINT AUGUSTINE, ST AUGUSTINE, FL 32086-5799
(904) 826-0084
Mailing address
104 LAUREL WOOD WAY, UNIT 104, ST AUGUSTINE, FL 32086-3122
(786) 863-0715
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
10/25/2012
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