# FERNANDO M LOPEZ-IVERN MD INC

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

## Provider details

- **NPI number:** 1871526467
- **Authorized official:** FERNANDO M LOPEZ M.D. (OWNER)
- **Authorized official phone:** (561) 893-0651

## Contact information

- **Practice address:** 9980 CENTRAL PARK BLVD N, SUITE 116, BOCA RATON, FL 33428-1762
- **Practice address phone:** (561) 893-0651
- **Practice address fax:** (561) 893-0655
- **Mailing address:** 9980 CENTRAL PARK BLVD N STE 116, BOCA RATON, FL 33428-1703
- **Mailing address phone:** (561) 448-1880
- **Mailing address fax:** (561) 893-0655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME 37131 | FL | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 12/10/2025
