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Mr. Antonio Jose Lopez, PA
Medical Physician Assistant in Miami Beach, Florida
NPI 1952623597

Antonio Jose Lopez is a Medical Physician Assistant based in Miami Beach, FL and is specialized in Medical. Antonio Jose Lopez practices in Miami Beach, FL and has the professional credentials of PA. The NPI Number for Antonio Jose Lopez is 1952623597 and holds a License No. TPPA562 (Florida).

The current practice location address for Antonio Jose Lopez is 719 85Th St, Miami Beach, FL and can be reached out via phone at 786-523-3208.

Location: 719 85Th St, Miami Beach, FL, 33141-1109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952623597
Provider Name
Antonio Jose Lopez
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
719 85Th St, Miami Beach, FL, 33141-1109
Phone Number
786-523-3208
Fax Number
Provider Enumeration Date
02/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270455892 01 FL NPI #
institution
Provider Business Practice Location Address Details
Address
719 85Th St
City
Miami Beach
State
Florida
Zip
33141-1109
Phone Number
786-523-3208
Fax Number
person
Provider Business Mailing Address Details
Address
719 85Th St
City
Miami Beach
State
Florida
Zip
33141-1109
Phone Number
786-523-3208
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
TPPA562 (Florida)
Definition
Definition to come...
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