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1629560065
SIMON JAMES LOPEZ
TALLAHASSEE, FL
NPI
1629560065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL ME146253)
Enumeration Date
2018-06-01
Last Update Date
2022-10-13
Business Address
SIMON JAMES LOPEZ MD
2140 CENTERVILLE RD
TALLAHASSEE, FL 32308-4314
Phone number: 850-383-3333
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Mailing Address
SIMON JAMES LOPEZ MD
PO BOX 15349
TALLAHASSEE, FL 32317-5349
Phone number: 850-383-3585
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