Organization
DR. RAPHAEL LOPEZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAPHAEL LUIS LOPEZ M.D. (OWNER/PRESIDENT)
(321) 939-4268
Entity
Organization
Contact information
Practice address
131 WEBB DR, SUITE C, DAVENPORT, FL 33837-3921
(321) 939-4268
Mailing address
1212 ROYCROFT AVE, CELEBRATION, FL 34747-4016
(321) 939-4268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85048
FL
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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