Lopes, Gustavo

Lopes, Gustavo is an sole proprietor health care provider with primary practice located at 900 Se Becker Rd , Port Saint Lucie FL 34984-6641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Lopes, Gustavo can be contacted via phone (772) 255-7550.

Contact Information

Primary practice address
900 Se Becker Rd Port Saint Lucie FL 34984-6641
Phone: (772) 255-7550
Fax: (561) 626-9804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X OS10182 Florida

Profile Details

NPI number 1588863351
LBN Legal business name Lopes, Gustavo
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2007
Last updated Mar 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588863351 NPPES
Florida MEDICAID 004291000

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