Individual
MARY ANN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5153 NORTH 9TH AVE, 6TH FLOOR NEMOURS, PENSACOLA, FL 32504
(850) 416-7658
(850) 416-7677
Mailing address
5153 NORTH 9TH AVE, 6TH FLOOR NEMOURS, PENSACOLA, FL 32504
(850) 416-7658
(850) 416-7677
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TRN17693
FL
Other
Enumeration date
09/11/2012
Last updated
09/11/2012
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