LUIS J LOPEZ MD PA
Medical Practice in Tampa, FL

License number
Florida ME93505
Category
Medical Practice
Type
Specialist
Owner
Name: MR. LUIS J LOPEZ MD
Title: PHYSICIAN
Phone: (813) 362-7837
Address
Address
4700 N. Habana Ave SUITE 701, Tampa, FL 33614
National Provider ID: 1538341789
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LUIS J LOPEZ MD PA at bizstanding.com

Luis J. Lopez, M.D., PA

Tampa, FL

Registration:
Sep 18, 2007
Addresses:
7171 N Dl Mabry Hwy, Tampa, FL 33614
7001 N Dl Mabry Hwy, Tampa, FL 33614
4700 N Habana Ave, Tampa, FL 33614
11919 Mandevilla Ct, Tampa, FL 33626
State ID:
P07000103992
Business type:
Domestic for Profit Corporation
Chairman, COOs:
Luis J. Lopez (Director),Lilliana A. Lebron (Chairman, COO)
Agent:
Hunter Brownlee

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