Individual
ALFREDO LOPEZ-ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9726 TOUCHTON RD, #104, JACKSONVILLE, FL 32246-8304
(904) 421-1221
Mailing address
4500 BAYMEADOWS RD, APT #14, JACKSONVILLE, FL 32217
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
#AL4533
FL
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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