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Organization

JERONIMO LOPEZ MD SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JERONIMO LOPEZ MD (OWNER)
(352) 732-9844
Entity
Organization

Contact information

Practice address
5524 SW 45TH ST, OCALA, FL 34474-9656
(352) 732-9844
Mailing address
5524 SW 45TH ST, OCALA, FL 34474-9656
(352) 732-9844

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
ME120658
FL
208M00000X
Hospitalist Physician
Primary
ME120658
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ME120658
MEDICAL LICENSE
FL
Enumeration date
08/07/2018
Last updated
03/07/2023
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