Lopez, Jonathan

Lopez, Jonathan is an individual health care provider with primary practice located at 2727 W Dr Mlk Blvd Ste 570 , Tampa FL 33607-6009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Lopez, Jonathan can be contacted via phone (813) 867-6200.

Contact Information

Primary practice address
2727 W Dr Mlk Blvd Ste 570 Tampa FL 33607-6009
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME133606 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME133606 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME133606 Florida

Profile Details

NPI number 1619317575
LBN Legal business name Lopez, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2013
Last updated Aug 9th, 2020 - about 4 years 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.

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