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Individual

JENNIFER LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
603 N FLAMINGO RD STE 350, PEMBROKE PINES, FL 33028-1013
(954) 435-5100
(954) 381-8210
Mailing address
900 VILLAGE SQUARE XING STE 290, PALM BEACH GARDENS, FL 33410-4552
(239) 313-2517

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9120056
FL

Other

Enumeration date
10/17/2024
Last updated
04/21/2025
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