Individual
CARLOS MANUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1133 SE 18TH PL, SUITE #2, OCALA, FL 34471-5410
(352) 861-5765
(352) 867-1801
Mailing address
1133 SE 18TH PL, SUITE #2, OCALA, FL 34471-5410
(352) 861-5765
(352) 867-1801
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME55323
FL
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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