Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 0027191 | FL |
NPI | 1164522090 |
---|---|
Provider Name | Dr. Franz Hugo Nelson Lopez Padilla |
First Address | Boynton Beach, FL 33436-6634 |
Second Address | Boynton Beach, FL 33436-6634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 12/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D85884 | (02) | FL |