Individual
DAIQUIRI ANN LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17240 CORTEZ BLVD, BROOKSVILLE, FL 34601-8921
(352) 796-5111
Mailing address
10065 CORTEZ BLVD, WEEKI WACHEE, FL 34613-6389
(352) 596-4660
(352) 596-4674
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11025368
FL
Other
Enumeration date
03/22/2023
Last updated
10/27/2025
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