Individual
FLORENTINO ALBERTO LUPERCIO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
305 MEMORIAL MEDICAL PKWY STE 300, DAYTONA BEACH, FL 32117-5170
(386) 672-1023
Mailing address
305 MEMORIAL MEDICAL PKWY, STE 300, DAYTONA BEACH, FL 32117-5170
(386) 672-1023
(386) 263-2996
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME144467
FL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
ME144467
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/23/2014
Last updated
09/03/2020
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