Individual
FERNANDO M LOPEZ-IVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9980 CENTRAL PARK BLVD N, SUITE 116, BOCA RATON, FL 33428-1762
(561) 893-0651
(561) 893-0655
Mailing address
9980 CENTRAL PARK BLVD N, SUITE 116, BOCA RATON, FL 33428-1762
(561) 893-0651
(561) 893-0655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 37131
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040420900
—
FL
Enumeration date
07/13/2006
Last updated
04/18/2012
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