AXEL LOPEZ

FORT MYERS, FL
NPI1588251631
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL4133)
Enumeration Date2020-12-23
Last Update Date2020-12-23
Business Address
AXEL LOPEZ
14110 SIX MILE CYPRESS PKWY
FORT MYERS, FL 33912-4314
Phone number: 570-801-0492
Mailing Address
AXEL LOPEZ
8165 PACIFIC BEACH DR
FORT MYERS, FL 33966-7955
Phone number: