# MEDICUS HEALTH PLAN, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629456439
- **Authorized official:** MR. FERNANDO M LOPEZ-IVERN M.D./ (MANAGER)
- **Authorized official phone:** (561) 893-0655

## Contact information

- **Practice address:** 6646 W ATLANTIC AVE, 3RD FLOOR SUITE B, DELRAY BEACH, FL 33446-1627
- **Practice address phone:** (561) 893-0651
- **Practice address fax:** (561) 893-0655
- **Mailing address:** 9980 CENTRAL PARK BLVD N, SUITE 116, BOCA RATON, FL 33428-1762
- **Mailing address phone:** (561) 893-0651
- **Mailing address fax:** (561) 893-0655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/13/2015
- **Last updated:** 05/13/2015