Individual
DR. WILCANOR LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2330 NORTH BLVD W, DAVENPORT, FL 33837-8989
(407) 931-0444
(407) 962-4446
Mailing address
931 W OAK ST STE 103, KISSIMMEE, FL 34741-4973
(407) 931-0444
(407) 962-4446
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ACN1663
PR
Other
Enumeration date
05/13/2022
Last updated
03/07/2025
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