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Individual

DR. ALFONSO SEBASTIAN LOPEZ CHIRIBOGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 353-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-7228

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
61824
MN
2084N0400X
Neurology Physician
Primary
ME127782
FL

Other

Enumeration date
06/21/2013
Last updated
08/28/2020
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