Lopez, Maria I

Lopez, Maria I is an individual health care provider with primary practice located at 305 Memorial Medical Pkwy Suite 303, Daytona Beach FL 32117-5168. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Lopez, Maria I can be contacted via phone (386) 615-8909.

Contact Information

Primary practice address
305 Memorial Medical Pkwy Suite 303 Daytona Beach FL 32117-5168
Phone: (386) 615-8909
Fax: (386) 615-8910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME86776 Florida

Profile Details

NPI number 1124088133
LBN Legal business name Lopez, Maria I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Feb 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124088133 NPPES
Florida MEDICAID 266162400
Florida Other ME86776
Florida Other ME86776
Florida Other ME86776

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