Individual
MR. ELIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3310 W CHESTNUT ST, TAMPA, FL 33607-4202
(813) 325-5966
(813) 442-5019
Mailing address
3310 W CHESTNUT ST, TAMPA, FL 33607-4202
(813) 325-5966
(813) 442-5019
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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