Individual
ISMAEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 N MACDILL AVE, TAMPA, FL 33607-2931
(813) 797-8143
(813) 797-8143
Mailing address
2401 N MACDILL AVE, TAMPA, FL 33607
(813) 797-8143
(813) 797-8143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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