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Individual

JOSE FRANCISCO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ST/SA-C

Contact information

Practice address
7408 LAKE WORTH RD, LAKE WORTH, FL 33467-2502
(561) 433-5700
Mailing address
4190 NW 163RD ST, OPA LOCKA, FL 33054-6142
(305) 297-9505

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-185
FL

Other

Enumeration date
05/14/2017
Last updated
05/14/2017
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