Individual
JORGE MARTIN LOPEZ DA RE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(407) 303-2528
(407) 303-2760
Mailing address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(407) 303-2528
(407) 303-2760
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0071739
MD
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME108763
FL
Other
Enumeration date
07/21/2008
Last updated
10/09/2019
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