Individual
MR. MIGUEL ANGEL LOPEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
900 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-9230
(904) 253-2062
(904) 253-1942
Mailing address
900 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-9230
(904) 253-2062
(904) 253-1942
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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