Organization
FABIAN A LOPEZ MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIAN A LOPEZ MD (PRESIDENT)
(305) 673-8570
Entity
Organization
Contact information
Practice address
4302 ALTON RD, STE 430, MIAMI BEACH, FL 33140-2891
(305) 673-8570
(305) 673-8571
Mailing address
PO BOX 190367, MIAMI BEACH, FL 33119-0367
(305) 673-8570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
79561
FL
Other
Enumeration date
12/12/2007
Last updated
06/10/2009
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