Individual
DANIEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
172 FISH HAWK DR, WINTER HAVEN, FL 33884-4167
(863) 594-3349
Mailing address
172 FISH HAWK DR, WINTER HAVEN, FL 33884-4167
(863) 594-3349
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
L226039722000
FL
Other
Enumeration date
02/25/2026
Last updated
02/25/2026
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