Lopes De Lima, Diego Jose
Lopes De Lima, Diego Jose is an sole proprietor health care provider with primary practice located at 875 Military Trl Ste 105 , Jupiter FL 33458-5700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Lopes De Lima, Diego Jose can be contacted via phone (561) 798-6600.Contact Information
Primary practice address
875 Military Trl Ste 105
Jupiter FL 33458-5700
Phone: (561) 798-6600
Fax: (561) 753-3328
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME146444 | Florida |
Profile Details
NPI number | 1508354861 |
---|---|
LBN Legal business name | Lopes De Lima, Diego Jose |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 23rd, 2018 |
Last updated | Oct 15th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1508354861 | NPPES |
Florida | MEDICAID | 107422800 |
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