Individual
DR. JENNIFER R LOPEZ LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(407) 520-3947
Mailing address
8133 TOPSAIL PL, WINTER GARDEN, FL 34787-4581
(787) 718-0300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
146317
FL
2086S0102X
Surgical Critical Care Physician
146317
FL
2086S0127X
Trauma Surgery Physician
146317
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/10/2015
Last updated
12/06/2023
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