Organization
MARIA ISABEL LOPEZ, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA ISABEL LOPEZ M.D. (PRESIDENT)
(386) 615-8909
Entity
Organization
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY, SUITE 303, DAYTONA BEACH, FL 32117-5168
(386) 615-8909
(386) 615-8910
Mailing address
305 MEMORIAL MEDICAL PKWY, SUITE 303, DAYTONA BEACH, FL 32117-5168
(386) 615-8909
(386) 615-8910
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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