Individual
DR. GUSTAVO LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
900 SE BECKER RD, PORT SAINT LUCIE, FL 34984-6641
(772) 255-7550
(561) 626-9804
Mailing address
PO BOX 20800, BELFAST, ME 04915-4105
(888) 402-7256
(888) 902-1099
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS10182
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004291000
—
FL
Enumeration date
07/12/2007
Last updated
03/25/2024
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