| Carlos M Lopez Md Pa | |
|
1133 Se 18th Pl Suite #2 Ocala FL 34471-5410 | |
| (352) 861-5765 | |
| (352) 867-1801 |
| Full Name | Carlos M Lopez Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1133 Se 18th Pl, Ocala, Florida |
| Authorized Official Name and Position | Carlos M Lopez (OFFICER) |
| Authorized Official Contact | 3528615765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos M Lopez Md Pa 1133 S.e 18th Place Suite #2 Ocala FL 34471-5410 Ph: (352) 861-5765 | Carlos M Lopez Md Pa 1133 Se 18th Pl Suite #2 Ocala FL 34471-5410 Ph: (352) 861-5765 |
| NPI Number | 1558632687 |
|---|---|
| Provider Enumeration Date | 01/20/2012 |
| Last Update Date | 01/20/2012 |
| Medicare PECOS PAC ID | 7214940204 |
|---|---|
| Medicare Enrollment ID | O20060714000259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558632687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RA0000X | Internal Medicine - Adolescent Medicine | ME (Florida) | Primary |
| Provider Name | Carlos M Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669404893 PECOS PAC ID: 0941213938 Enrollment ID: I20060714000265 |
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