Carlos Alberto Lopez Jr., RN
Registered Nurse, Infusion Therapy in Lutz, FL. Individual provider (NPI-1).
NPI number1104504232
StatusActive
Last updated in NPPESJul 12, 2023
Details
- NPI
- 1104504232
- Entity type
- Individual (NPI-1)
- Name
- Mr. Carlos Alberto Lopez Jr.
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 12, 2023
- Last updated
- Jul 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WI0500X | Registered Nurse, Infusion Therapy | 224886 | TN | Yes |
Practice location
21610 Southwood DrLutz, FL 33549-4126
Phone 813-294-5546 · Fax 813-354-3408
Mailing address
6421 N Florida Ave # D1789Tampa, FL 33604-6007
Phone 813-294-5546 · Fax 813-354-3408
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