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JOSE LUIS LOPEZ

>> Non-emergency Medical Transport (VAN) >> Transportation Services

Registrant NPI Number: 1255895348

Individual Registrant:
 JOSE LUIS LOPEZ 
Gender: M
Sole Proprietor

Location and contact information for practice:
6459 SW COUNTY ROAD 18 UNIT 4  FORT WHITE, FL 32038-3464 US
Tel: 352-474-9788  Fax: --

Contact information for business:
504 SW BUCCHI GLN  FORT WHITE, FL 32038-2936 US
Tel: 352-474-9788  Fax: --

Registration Information:
NPI: 1255895348
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y343900000XTransportation Services
Non-emergency Medical Transport (VAN)
FL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
474115030FL05




HEALTH CARE JOBS FL - Page 1



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