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:
Health care specialties
| Specialty | Code | License # | 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 9 months ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588863351 | NPPES |
| Florida | MEDICAID | 004291000 |
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