Individual
DANIEL JOSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5367 SPRING HILL DR, SPRING HILL, FL 34606-4540
(352) 600-6780
(352) 600-6765
Mailing address
3913 AMERICANA DR, TAMPA, FL 33634-7405
(352) 600-6780
(352) 600-6765
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME158773
FL
208VP0000X
Pain Medicine Physician
ME158773
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME158773
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/02/2020
Last updated
05/17/2024
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