Individual
MR. ANTONIO JOSE LOPEZ
Active
Individual
MR. ANTONIO JOSE LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TPPA562
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270455892
NPI #
FL
Enumeration date
02/24/2010
Last updated
08/21/2023
Update your record
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