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Organization

JUAN A LOPETEGUI MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN A LOPETEGUI M.D. (PRESIDENT/SECRETARY)
(305) 485-7979
Entity
Organization

Contact information

Practice address
8750 SW 144TH ST, SUITE 208, PALMETTO BAY, FL 33176-7296
(305) 485-4043
(305) 485-3591
Mailing address
15680 N KENDALL DR, SUITE 201, MIAMI, FL 33196-1159
(305) 436-9933
(305) 500-2137

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 87214
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
267299500
FL
Enumeration date
12/07/2007
Last updated
11/08/2011
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