JONATHAN LOPEZ OLIVER

FIRST HARBOUR MEDICAL CENTERS LLC

Dr JONATHAN LOPEZ OLIVER is a male medical professional, specializing in General Practice. He graduated in 2008.

Contact

FIRST HARBOUR MEDICAL CENTERS LLC

712 53RD AVE E
BRADENTON
FL
342035827

Tel: 9417552456

JONATHAN LOPEZ OLIVER Information

Npi 1922327089
Pac Id 4789878109
Professional Enrollment Id I20170711003433
Last Name LOPEZ OLIVER
First Name JONATHAN
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2008
Primary Specialty GENERAL PRACTICE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FIRST HARBOUR MEDICAL CENTERS LLC
Group Practice Pac Id 2062704679
Number Of Group Practice Members 5
Line 1 Street Address 712 53RD AVE E
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BRADENTON
State FL
Zip Code 342035827
Phone Number 9417552456
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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