Federal Bureau of Prisons

NPI #1881065662 in Clermont, Florida

Provider Information

NPI Number
1881065662
Entity Type
Organization
Organization Name
Federal Bureau of Prisons
Subpart
Yes (part of a larger organization)
Parent Organization
DEPARTMENT OF JUSTICE
Primary Specialty
Family Medicine
Enumeration Date
Oct 19, 2015
Last Updated
Oct 19, 2015

Practice Location

Address
2801 FALCON RDG
State
Florida
ZIP Code
34711-5892
Phone
(352) 243-8998

Authorized Official

Name
DR. HECTOR LOPEZ, MD
Title
CLINICAL DIRECTOR
Phone
(352) 689-7332

Specialties & Taxonomy Codes

Specialty
Family Medicine

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