Individual
NICOLE MARIE YORDAN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14000 FIVAY RD, HUDSON, FL 34667-7103
(727) 819-2929
Mailing address
4225 BONFIRE DR, ODESSA, FL 33556-4607
(787) 324-2425
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME169234
FL
Other
Enumeration date
09/02/2016
Last updated
07/09/2024
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