Organization
OPHELIE PRIMARY CARE PA
Active
Other names
Ophelie Primary Care PA
Organization subpart
No
Provider details
NPI number
Authorized official
OFELIA LOPEZ (MD/OWNER)
(914) 815-7905
Entity
Organization
Contact information
Practice address
5607 26TH ST W, BRADENTON, FL 34207-3516
(914) 815-7905
Mailing address
5607 26TH ST W, BRADENTON, FL 34207-3516
(914) 815-7905
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/12/2021
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