EDDY JOSE LOPEZ

TAMPA, FL
NPI1013426857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9110687)
Enumeration Date2017-09-25
Last Update Date2020-09-04
Business Address
Mr. EDDY JOSE LOPEZ PA-C
4507 N ARMENIA AVE
TAMPA, FL 33603-2703
Phone number: 813-876-4100
Mailing Address
Mr. EDDY JOSE LOPEZ PA-C
11804 ROSSMAYNE DR
RIVERVIEW, FL 33569-5657
Phone number: 813-390-1935
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