Osorio-Lopez, Jose Eduardo

Osorio-Lopez, Jose Eduardo is an individual health care provider with primary practice located at 6150 N Us Highway 41 , Apollo Beach FL 33572-1806. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Osorio-Lopez, Jose Eduardo can be contacted via phone (813) 641-0007.

Contact Information

Primary practice address
6150 N Us Highway 41 Apollo Beach FL 33572-1806
Phone: (813) 641-0007
Fax: (813) 641-0009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101902 Florida

Profile Details

NPI number 1720090061
LBN Legal business name Osorio-Lopez, Jose Eduardo
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jan 30th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720090061 NPPES
Florida MEDICAID 291210400

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