NELSON LOPEZ MD PA
Osteopathic Medicine at Woolbright Rd, Boynton Beach, FL

License number
Florida ME0027191
Category
Osteopathic Medicine
Type
Geriatric Medicine
Owner
Name: NELSON LOPEZ M.D
Title: PHYSICIAN
Phone: (561) 734-4535
Address
Address
2609 W Woolbright Rd SUITE 5, Boynton Beach, FL 33436
National Provider ID: 1417135997
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NELSON LOPEZ, M.D., PA

2609 Woolbright Rd SUITE 5, Boynton Beach, FL 33436

Status:
Inactive
Industry:
Medical Doctor's Office
Inactive reason:
ADMIN DISSOLUTION FOR ANNUAL REPORT
Registration:
Mar 18, 1999
Inactive since:
Sep 26, 2014
State ID:
P99000025769
Business type:
Florida Profit Corporation
President, Vice Presidents:
Nelson M.d. Lopez, 2609 Woolbright Rd, Boynton Beach, FL 33436 (Physical),Carmen M Ibanez-Lopez, 4855 Hunters Way, Boca Raton, FL 33434 (Physical),Nelson F H Lopez President, Treasurer, Director, inactive,...
Agent:
Nelson Lopez,2609 Woolbright Rd SUITE 5, Boynton Beach, FL 33436 (Physical)
EIN:
65-0902717

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