Most Relevant Information
Provider Data
| NPI Number: | 1003536533 |
| Provider Name: | JUANA LOPEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 246QH0600X |
| Specialty: | Specialist/Technologist, Pathology |
| License Number: | TN42418 |
Most Important Dates
| Enumeration Date: | 09/02/2022 |
| Last Updated: | 09/02/2022 |
Provider Practice Location
1601 SW ARCHER RD
GAINESVILLE
FL
326081135
Practice Location Phone/Fax
| Phone: | 3525485207 |
| Fax: |
Provider Mailing Location
205 SW 75TH ST APT 12H
GAINESVILLE
FL
326071764
Provider Mailing Phone/Fax
| Phone: | 7862714418 |
| Fax: |