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Individual

DILIERVYS R LOPEZ MESA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, APRN, RN

Contact information

Practice address
450 SW 136TH AVE, PEMBROKE PINES, FL 33027-6073
(954) 239-4818
Mailing address
6720 AZALEA DR, MIRAMAR, FL 33023-4859
(786) 828-0334

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN11025695
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
12/11/2023
Last updated
04/23/2026
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