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NPI Code Detail

MEDICARE: HERIBERTO LOPEZ ARNP

MEDICARE: HERIBERTO LOPEZ ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner11021791FL

General Provider Information

NPI Number : 1700023074
Entity Type Code : Individual
Provider Name (Legal Business Name) : HERIBERTO LOPEZ ARNP
Provider Business Mailing Address
First Line : 12628 SW 21ST ST
Second Line :
City : MIRAMAR
State : FL
Zip : 33027-2601
Country : US
Telephone Number : 239-692-0761
Fax Number :
Provider Business Practice Location Address
First Line : 200 S PARK RD STE 200
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33021-8541
Country : US
Telephone Number : 888-986-2263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2009
Last Update Date : 04/25/2023

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Directions to “ HERIBERTO LOPEZ ARNP” Practice Location

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