Individual
RAUL LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 STERTHAUS AVE, ORMOND BEACH, FL 32174-5131
(386) 676-6000
Mailing address
721 BOSTON AVE, SOUTH DAYTONA, FL 32119-1807
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME50400
FL
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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