Healthcare Provider Details

I. General information

NPI: 1164522090
Provider Name (Legal Business Name): FRANZ HUGO NELSON LOPEZ PADILLA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/12/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 W WOOLBRIGHT RD SUITE 5
BOYNTON BEACH FL
33436-6634
US

IV. Provider business mailing address

2609 W WOOLBRIGHT RD SUITE 5
BOYNTON BEACH FL
33436-6634
US

V. Phone/Fax

Practice location:
  • Phone: 561-734-4535
  • Fax: 561-734-7530
Mailing address:
  • Phone: 561-734-4535
  • Fax: 561-734-7530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number0027191
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: