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Dr. Ivan Antonio Lopez, MD
Neurology Physician in Gainesville, Florida
NPI 1629168497

Ivan Antonio Lopez is a Neurology Physician based in Lake City, FL and is specialized in Neurology. Ivan Antonio Lopez practices in Gainesville, FL and has the professional credentials of MD. The NPI Number for Ivan Antonio Lopez is 1629168497 and holds a License No. ME25786 (Florida).

The current practice location address for Ivan Antonio Lopez is 1200 Ne 55Th Blvd, Gainesville, FL and can be reached out via phone at 352-375-8484 and via fax at 352-264-8305.

Location: 1200 Ne 55Th Blvd, Gainesville, FL, 32025-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629168497
Provider Name
Ivan Antonio Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1200 Ne 55Th Blvd, Gainesville, FL, 32025-3802
Phone Number
352-375-8484
Fax Number
352-264-8305
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1200 Ne 55Th Blvd
City
Gainesville
State
Florida
Zip
32641-2783
Phone Number
352-375-8484
Fax Number
352-264-8305
person
Provider Business Mailing Address Details
Address
1200 Ne 55Th Blvd
City
Gainesville
State
Florida
Zip
32641-2783
Phone Number
352-375-8484
Fax Number
352-264-8305
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
ME25786 (Florida)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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