Individual
JOSE A LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
409 BAYSHORE BLVD, TAMPA, FL 33606-2707
(813) 844-8335
(813) 844-1655
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-7000
(813) 844-4705
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME89883
FL
208C00000X
Colon & Rectal Surgery Physician
ME89883
FL
Other
Enumeration date
08/30/2006
Last updated
05/20/2022
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