Individual
SERGIO LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1150 45TH ST, WEST PALM BEACH, FL 33407-2361
(561) 514-5300
(561) 514-5540
Mailing address
1150 45TH ST, WEST PALM BEACH, FL 33407-2361
(561) 514-5300
(561) 837-5332
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
ME71762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251507500
—
FL
Enumeration date
07/12/2006
Last updated
12/31/2012
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