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Organization

IGNACIO LOPEZ-MERINO, M.D., PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IGNACIO LOPEZ-MERINO, M.D. M.D. (MEDICAL DOCTOR)
(954) 791-4774
Entity
Organization

Contact information

Practice address
7050 NW 4TH ST, SUITE#304, PLANTATION, FL 33317-2247
(954) 791-4774
(954) 791-2405
Mailing address
7050 NW 4TH ST, SUITE#304, PLANTATION, FL 33317-2247
(954) 791-4774
(954) 791-2405

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0049078
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265466106
NPI TYPE 1
FL
Enumeration date
12/27/2010
Last updated
12/27/2010
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