Sandra B Lopez PA

NPI 1770676884 - Physician Assistant - 363AM0700X

NPI Details
NPI 1770676884
Gender Female
Enumeration Date 10/02/2006
Last Updated 01/30/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
9850 S FEDERAL HIGHWAY
PORT ST LUCIE FL, 34972, US
Phone (772) 335-1500
Fax (772) 335-1116
Business Location
5807 NW ALLYSE DR
PORT ST LUCIE FL, 34986-4650, US
Phone (772) 905-2583
Fax (772) 335-1116
Toxanomy
Taxonomy Code 363AM0700X
License State Florida
License Number PA9103461
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According to our database, Sandra B Lopez PA NPI is 1770676884, taxonomy code is 363AM0700X and license number is PA9103461, license state is located at Florida. Sandra B Lopez PA physically located at 9850 S Federal Highway, Port St Lucie FL, 34972. NPI Number Sandra B Lopez PA has the Individual type.

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1770676884 NPI number is provided on an as is basis without warranty of any kind. 1770676884 is maintained by the National Plan & Provider Enumeration System. The contents of Sandra B Lopez PA are for informational purposes only.