Jorge Martin Lopez Da Re
Pediatrician Neonatal-Perinatal Doctor
1500 Sw 1st Ave
Ocala
, Florida 34471-6504
Jorge Martin Lopez Da Re
Pediatrician Neonatal-Perinatal Doctor
1500 Sw 1st Ave
Ocala
, Florida 34471-6504
(407) 303-2760
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About
Features
Specialties
- Pediatrician
- Neonatal-Perinatal Doctor
Languages spoken
- English
Location
First Address
- Jorge Martin Lopez Da Re
- 1500 Sw 1st Ave
- Ocala, FL
- Zip : 34471-6504
- Fax : (407) 303-2760
- Phone : (407) 303-2528
Second Address
- Jorge Martin Lopez Da Re
- 1500 Sw 1st Ave
- Ocala, FL
- Zip : 34471-6504
- Fax : (407) 303-2760
- Phone : (407) 303-2528
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 0071739 | MD |
| Y | 2080N0001X | Neonatal-Perinatal Doctor | ME108763 | FL |
National Provider Identifier
| NPI | 1003071945 |
|---|---|
| Provider Name | Jorge Martin Lopez Da Re |
| First Address | Ocala, FL 34471-6504 |
| Second Address | Ocala, FL 34471-6504 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/07/2008 |
| Last Update Date | 09/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.