| Fernando M Lopez-ivern Md Inc | |
|
9980 Central Park Blvd N Suite 116 Boca Raton FL 33428-1762 | |
| (561) 893-0651 | |
| (561) 893-0655 |
| Full Name | Fernando M Lopez-ivern Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9980 Central Park Blvd N, Boca Raton, Florida |
| Authorized Official Name and Position | Fernando M Lopez (OWNER) |
| Authorized Official Contact | 5618930651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando M Lopez-ivern Md Inc 9980 Central Park Blvd N Suite 116 Boca Raton FL 33428-1762 Ph: (561) 893-0651 | Fernando M Lopez-ivern Md Inc 9980 Central Park Blvd N Suite 116 Boca Raton FL 33428-1762 Ph: (561) 893-0651 |
| NPI Number | 1871526467 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 11/26/2013 |
| Medicare PECOS PAC ID | 8729097571 |
|---|---|
| Medicare Enrollment ID | O20060406000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871526467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 37131 (Florida) | Primary |
| Provider Name | Fernando Lopez-ivern |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508881889 PECOS PAC ID: 2860470309 Enrollment ID: I20040710000313 |
| Provider Name | Mary M Spitzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134564727 PECOS PAC ID: 8820224397 Enrollment ID: I20131112001308 |
| Provider Name | Cristalle Haye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013644582 PECOS PAC ID: 9931585148 Enrollment ID: I20220926001386 |
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