Individual
CHRISTINE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(786) 879-4664
Mailing address
6647 PADEN WHEEL ST, ZEPHYRHILLS, FL 33541-2553
(786) 879-4664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
OS19616
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2020
Last updated
06/14/2023
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