| Lopez Garcia Md Pa | |
|
2022 Emerald Ridge Dr Lakeland FL 33813-5224 | |
| (305) 308-6478 | |
| (813) 741-3331 |
| Full Name | Lopez Garcia Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2022 Emerald Ridge Dr, Lakeland, Florida |
| Authorized Official Name and Position | Eduardo F Lopez Garcia (OWNER) |
| Authorized Official Contact | 3053086478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lopez Garcia Md Pa 2022 Emerald Ridge Dr Lakeland FL 33813-5224 Ph: (305) 308-6478 | Lopez Garcia Md Pa 2022 Emerald Ridge Dr Lakeland FL 33813-5224 Ph: (305) 308-6478 |
| NPI Number | 1790323665 |
|---|---|
| Provider Enumeration Date | 12/11/2019 |
| Last Update Date | 12/11/2019 |
| Medicare PECOS PAC ID | 5193158731 |
|---|---|
| Medicare Enrollment ID | O20191212000108 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790323665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eduardo F Lopez Garcia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184998056 PECOS PAC ID: 3577729060 Enrollment ID: I20120727000554 |
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