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Dr. Juan Pablo Lopez Gonzalez, MD
General Practice Physician in Ridge Manor, Florida
NPI 1225210685

Juan Pablo Lopez Gonzalez is a General Practice Physician based in Ridge Manor, FL. Juan Pablo Lopez Gonzalez practices in Ridge Manor, FL and has the professional credentials of MD. The NPI Number for Juan Pablo Lopez Gonzalez is 1225210685 and holds a License No. 16911 (Florida).

The current practice location address for Juan Pablo Lopez Gonzalez is 34490 Cortez Blvd, Ridge Manor, FL and can be reached out via phone at 352-583-4520.

Location: 34490 Cortez Blvd, Ridge Manor, FL, 33523-8908
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225210685
Provider Name
Juan Pablo Lopez Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34490 Cortez Blvd, Ridge Manor, FL, 33523-8908
Phone Number
352-583-4520
Fax Number
Provider Enumeration Date
11/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16911 01 PR MEDICINE LICENSE
institution
Provider Business Practice Location Address Details
Address
34490 Cortez Blvd
City
Ridge Manor
State
Florida
Zip
33523-8908
Phone Number
352-583-4520
Fax Number
person
Provider Business Mailing Address Details
Address
34490 Cortez Blvd
City
Ridge Manor
State
Florida
Zip
33523-8908
Phone Number
352-583-4520
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
16911 ()
Definition
Definition to come...
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