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1063745131
JORGE A PEREZ LOPEZ
DAYTONA BEACH, FL
NPI
1063745131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL ME116773)
Enumeration Date
2009-09-08
Last Update Date
2016-04-08
Business Address
-- JORGE A PEREZ LOPEZ MD
201 N CLYDE MORRIS BLVD SUITE 120
DAYTONA BEACH, FL 32114-2765
Phone number: 386-425-4641
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Mailing Address
-- JORGE A PEREZ LOPEZ MD
PO BOX 732901
DALLAS, TX 75373-2901
Phone number: 386-226-4590
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