| Jose Ignacio Lopez, Md., Pa | |
|
6101 Webb Rd Suite 209 Tampa FL 33615-2872 | |
| (813) 890-8000 | |
| (813) 886-0508 |
| Full Name | Jose Ignacio Lopez, Md., Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6101 Webb Rd, Tampa, Florida |
| Authorized Official Name and Position | Jose Ignacio Lopez (PRESIDENT) |
| Authorized Official Contact | 8138908000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Ignacio Lopez, Md., Pa 6101 Webb Rd Suite 209 Tampa FL 33615-2872 Ph: (813) 890-8000 | Jose Ignacio Lopez, Md., Pa 6101 Webb Rd Suite 209 Tampa FL 33615-2872 Ph: (813) 890-8000 |
| NPI Number | 1942603667 |
|---|---|
| Provider Enumeration Date | 10/08/2014 |
| Last Update Date | 10/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942603667 | NPI | - | NPPES |
| 269738600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME82816 (Florida) | Primary |
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