Mr Julio B Lopez, PA-C | |
315 S W C Owens Ave, Clewiston, FL 33440-3637 | |
(863) 983-7813 | |
(863) 983-9604 |
Full Name | Mr Julio B Lopez |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 315 S W C Owens Ave, Clewiston, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144289133 | NPI | - | NPPES |
290257500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA2290 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Julio B Lopez, PA-C 4450 S Tiffany Dr, West Palm Beach, FL 33407-3241 Ph: (561) 844-9443 | Mr Julio B Lopez, PA-C 315 S W C Owens Ave, Clewiston, FL 33440-3637 Ph: (863) 983-7813 |
Elliott Kingman White, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 540 W Sagamore Ave, Clewiston, FL 33440 Phone: 863-983-5026 | |
Barbara Nyce Reesor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 115 S Gloria St, Clewiston, FL 33440 Phone: 863-983-2282 Fax: 863-983-2864 |