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Organization

FLORIDA RHEUMATOLOGY CARE

Active
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Organization

FLORIDA RHEUMATOLOGY CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINNETTE LOPEZ LOPEZ MD (OWNER)
(321) 725-1600
Entity
Organization

Contact information

Practice address
7630 N WICKHAM RD STE 104, MELBOURNE, FL 32940-8257
(321) 725-1600
(321) 725-1600
Mailing address
PO BOX 412077, MELBOURNE, FL 32941-2077
(321) 725-1600
(321) 725-1600

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01239200
FL
Enumeration date
09/16/2018
Last updated
09/16/2018
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