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Jennifer Lopez

NPI 1568940799 · on the registry since 2018 · sole proprietor

Practice

Address
10114 Winsford Oak Blvd Apt 511
Tampa, FL 33624
Phone
(352) 875-2494

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Also registered as
222Q00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida