Wilson Lopez

NPI #1568492528 in Doral, Florida

Provider Information

NPI Number: 1568492528
Entity Type: Individual
Name: Wilson Lopez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Enumeration Date: Jul 4, 2006
Last Updated: Jun 30, 2021

Practice Location

Address: 3155 NW 82ND AVE STE 102
City: Doral
State: Florida
ZIP Code: 33122-1056
Phone: (305) 591-2988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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