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GERALDHINE VANESSA LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2780 CLEVELAND AVE STE 709, FORT MYERS, FL 33901-5857
(941) 321-5904
Mailing address
12610 EQUESTRIAN CIR APT 1603, FORT MYERS, FL 33907-7565
(207) 239-5511

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42393
FL

Other

Enumeration date
07/07/2025
Last updated
07/07/2025
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