Lopez, Sergio

Lopez, Sergio is an sole proprietor health care provider with primary practice located at 1150 45Th St , West Palm Beach FL 33407-2361. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Lopez, Sergio can be contacted via phone (561) 514-5300.

Contact Information

Primary practice address
1150 45Th St West Palm Beach FL 33407-2361
Phone: (561) 514-5300
Fax: (561) 514-5540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X ME71762 Florida

Profile Details

NPI number 1104841238
LBN Legal business name Lopez, Sergio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Dec 31st, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104841238 NPPES
Florida MEDICAID 251507500

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