Most Relevant Information
Provider Data
| NPI Number: | 1003071945 |
| Provider Name: | JORGE MARTIN LOPEZ DA RE M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 0071739 |
Most Important Dates
| Enumeration Date: | 07/21/2008 |
| Last Updated: | 10/09/2019 |
Provider Practice Location
1500 SW 1ST AVE
OCALA
FL
344716504
Practice Location Phone/Fax
| Phone: | 4073032528 |
| Fax: | 4073032760 |
Provider Mailing Location
1500 SW 1ST AVE
OCALA
FL
344716504
Provider Mailing Phone/Fax
| Phone: | 4073032528 |
| Fax: | 4073032760 |
Suggested EMR
Pediatrics EMR