Individual
DR. CHRISTIAN ALEXIS LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
821 MEDICAL CT E, INVERNESS, FL 34452-4623
(352) 651-5627
Mailing address
2958 N KITTERY PT, HERNANDO, FL 34442-5423
(732) 867-6062
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
23478
PR
208D00000X
General Practice Physician
Primary
ACN1604
FL
390200000X
Student in an Organized Health Care Education/Training Program
16124-I
PR
Other
Enumeration date
05/17/2022
Last updated
02/05/2024
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