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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1104841238 | NPPES |
| Florida | MEDICAID | 251507500 |
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