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
Fax: (561) 753-3328
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508354861 NPPES
Florida MEDICAID 107422800

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