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Individual

DR. JASON LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7031 SW 62ND AVE, SOUTH MIAMI, FL 33143-4701
(305) 284-7500
Mailing address
100 SW 51ST CT, CORAL GABLES, FL 33134-1209
(305) 812-8815

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME144844
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2017
Last updated
08/30/2021
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