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Organization
JORGE E LOPEZ PEREZ MD PA
Active
Organization
JORGE E LOPEZ PEREZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE E LOPEZ PEREZ MD (OWNER)
(786) 385-7614
Entity
Organization
Contact information
Practice address
11750 BIRD RD, MIAMI, FL 33175-3530
(305) 223-3000
Mailing address
8255 SW 72ND CT UNIT 429, MIAMI, FL 33143-4262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110229100
—
FL
Enumeration date
05/05/2022
Last updated
05/05/2022
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