Perez Lopez, Jorge A

Perez Lopez, Jorge A is an individual health care provider with primary practice located at 201 N Clyde Morris Blvd Suite 120, Daytona Beach FL 32114-2765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Perez Lopez, Jorge A can be contacted via phone (386) 425-4641.

Contact Information

Primary practice address
201 N Clyde Morris Blvd Suite 120 Daytona Beach FL 32114-2765
Phone: (386) 425-4641
Fax: (386) 947-4647
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME116773 Florida

Profile Details

NPI number 1063745131
LBN Legal business name Perez Lopez, Jorge A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2009
Last updated Apr 8th, 2016 - about 10 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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