Individual
DR. JOSE MIGUEL LOPEZ-ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W OAK ST, KISSIMMEE, FL 34741-4924
(800) 893-9698
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME86220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266298100
—
FL
Enumeration date
08/29/2006
Last updated
11/24/2008
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