Individual
JOSE ALEXIS LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-9820
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-9820
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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