Individual
CARLOS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 S HIGHLANDS AVE FL 33870, SEBRING, FL 33870-5416
(786) 223-9095
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME159928
FL
Other
Enumeration date
04/09/2019
Last updated
04/17/2026
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