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1841782505
DIORGI LOPEZ SURI
JACKSONVILLE, FL
NPI
1841782505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 11011948)
Enumeration Date
2018-05-30
Last Update Date
2021-10-05
Business Address
DIORGI LOPEZ SURI APRN
2624 ATLANTIC BLVD
JACKSONVILLE, FL 32207-3609
Phone number: 904-513-3240
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Mailing Address
DIORGI LOPEZ SURI APRN
6821 SOUTHPOINT DR N STE 107
JACKSONVILLE, FL 32216-8026
Phone number: 866-372-0308
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