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Organization

LOPEZ PAIN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANUEL E LOPEZ M.D. (OWNER)
(904) 707-5498
Entity
Organization

Contact information

Practice address
4863 PALM COAST PKWY NW UNIT 2&3, PALM COAST, FL 32137-3666
(386) 222-7746
(904) 212-1351
Mailing address
4863 PALM COAST PKWY NW UNIT 2, PALM COAST, FL 32137-3665
(910) 332-5303
(904) 212-1351

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME107153
FL

Other

Enumeration date
02/16/2017
Last updated
07/09/2020
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