Organization
LOPEZ HEALTHCARE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIORGI LOPEZ SURI APRN (PRESIDENT)
(866) 372-0308
Entity
Organization
Contact information
Practice address
2624 ATLANTIC BLVD, JACKSONVILLE, FL 32207-3609
(904) 513-3240
Mailing address
6821 SOUTHPOINT DR N STE 107, JACKSONVILLE, FL 32216-8026
(866) 372-0308
(877) 460-4651
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/30/2021
Last updated
10/05/2021
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