Individual
DEBORAH MARIA LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11190 HEALTH PARK BLVD, NAPLES, FL 34110
(239) 552-7555
Mailing address
6070 SPANISH OAKS LN, NAPLES, FL 34119
(239) 593-5410
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
198763
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
ME 97675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01745399
—
NY
01
—
97675
MEDICAL LICENSE
FL
Enumeration date
12/04/2006
Last updated
07/08/2007
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