MEDICARE: LESLIE E LOPEZ - CALDERON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0500X	Cytopathology Physician	ME178311	FL

General Provider Information

NPI Number	:	1508005570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE E LOPEZ - CALDERON MD

Provider Business Mailing Address
First Line	:	PO BOX 818018
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44181-8018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5481 W WATERS AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-1264
Country	:	US
Telephone Number	:	813-577-4686
Fax Number	:	813-577-4694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2009
Last Update Date	:	03/18/2026

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