Individual
DR. ALBERT ARTHUR LOPEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4291 ROOSEVELT BLVD, JACKSONVILLE, FL 32210-2061
(904) 598-1888
(904) 384-4928
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS0007397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57573B
MEDICARE LEGACY NUMBER
FL
Enumeration date
05/13/2006
Last updated
05/18/2021
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