Individual
HORACIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 S ORANGE AVE, ORLANDO, FL 32806-2134
(321) 841-1869
Mailing address
6239 OAK SHORE DR, SAINT CLOUD, FL 34771-8686
(786) 459-1850
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
11026999
FL
Other
Enumeration date
06/20/2023
Last updated
08/31/2023
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