MIQUEAS LOPEZ

ST PETERSBURG, FL
NPI1124729348
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9117182)
Enumeration Date2023-03-14
Last Update Date2023-06-07
Business Address
MIQUEAS LOPEZ
1200 7TH AVE N
ST PETERSBURG, FL 33705-1300
Phone number: 727-825-1100
Mailing Address
MIQUEAS LOPEZ
500 DR MARTIN LUTHER KING JR ST N STE 303
ST PETERSBURG, FL 33705-1470
Phone number: 727-210-5253
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