Organization
NELSON LOPEZ MD PA
Active
Other names
NELSON LOPEZ MD
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON LOPEZ M.D (PHYSICIAN)
(561) 734-4535
Entity
Organization
Contact information
Practice address
2609 W WOOLBRIGHT RD, SUITE 5, BOYNTON BEACH, FL 33436-6634
(561) 734-4535
(561) 734-7530
Mailing address
2609 W WOOLBRIGHT RD, SUITE 5, BOYNTON BEACH, FL 33436-6634
(561) 734-4535
(561) 734-7530
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME0027191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1646
MEDICARE PROVIDER
FL
Enumeration date
02/06/2008
Last updated
04/16/2008
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