Bryan R. Lopez Ortiz
Physician Assistant in Cape Coral, FL(View on Map)
Full Name
Bryan R Lopez Ortiz
NPI Number
1326817388
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/01/2024
Specialties
(Taxonomies)Licenses
State
Florida
License Number
PA9118453
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 2147
708 DEL PRADO BLVD S STE 9
City
Fort Myers
Cape Coral
State
FL
FL
Postal Code
33902-2147
33990-2633
Country
US
US
Telephone Number
(239) 424-2440
(239) 424-2440
Identifiers
Identifier
121313000
Identifier State
FL
Identifier Issuer
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
blopezortiz382422@Direct.leememorial.org
Endpoint Description
Unknown
Use
Direct
Content Type
Unknown
Affiliation
Y
Endpoint Location
Lee Memorial Health System2776 Cleveland AveFort Myers, FL339015864US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/06/2024
Provider Address
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