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Individual

DIEGO JOSE LOPES DE LIMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
875 MILITARY TRL STE 105, JUPITER, FL 33458-5700
(561) 798-6600
(561) 753-3328
Mailing address
10131 FOREST HILL BLVD STE 230, WELLINGTON, FL 33414-6109
(561) 798-6600
(561) 753-3328

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
ME146444
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
107422800
FL
Enumeration date
04/23/2018
Last updated
10/15/2020
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