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Emilio
Emilio
Lopez
Medical doctor
Authorized official/owner
Lake Worth,
Profile Privacy
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Reveal information
Florida Health Care Practitioner Data Portal
Full name
EMILIO LOPEZ
Job Title
Medical Doctor
Location
Lake Worth, FL, USA
LIC ID
129611
Current License Expiration Date
31/01/2026
Original Date
14/07/2016
Professional Rank Code
ME
Effective Date
14/07/2016
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
PALM BEACH
Mailing Address Line 2
Suite 103
Practice Location Address Line 1
4205 W Atlantic Ave
Practice Location Address Line 2
Suite 102
Practice Location Address City
DELRAY BEACH
Practice Location Address State
FL
Practice Location Address Zipcode
33445
Prescribing Indicator
Y
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