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General NPI Number Information
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NPI Number | 1780693945
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Entity Type | Organization
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Legal Business Name | ELROY A. KALME LOPEZ, D.P.M., P.A.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11865 SW 26TH ST UNIT G-10
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City | MIAMI
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State | FL
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Zip | 33175-2400
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Country | US
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Telephone | 305-559-8333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 430814
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City | MIAMI
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State | FL
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Zip | 33243-0814
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Country | US
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Telephone | 786-280-7301
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ELROY A. KALME LOPEZ
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Credential | D.P.M.
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Telephone | 786-280-7301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO-2589
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License Number State | FL
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