Individual
EDUARDO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 846-2226
Mailing address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 846-2266
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9319774
FL
Other
Enumeration date
01/28/2018
Last updated
08/04/2020
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