GL Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME81940 Issued in FL

Legal business name

GL MEDICAL GROUP LLC

Practice address

9195 SW 72ND St
Suite 200
Miami, FL 33173-3488

Phone

(305) 662-7234

Fax

(305) 662-7234

NPI assigned

Sep 17, 2007

Last updated

Dec 1, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Manuel A Lopez, M.D.NPI 1023093671

Title

Owner

Phone

(305) 662-7234

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel A Lopez, M.D

  • Internal Medicine Physician
  • Oldsmar, FL
  • NPI 1023093671
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196467200000",
    "number": "1164618898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-662-7234",
            "fax_number": "305-662-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9195 SW 72ND ST",
            "address_2": "SUITE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733488",
            "telephone_number": "305-662-7234",
            "fax_number": "305-662-7234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2007-12-01",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-662-7234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME81940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• GL Hospitalists of South Florida
• GL Premier Transport LLC
• Gla Pharmacy, LLC
• Gla Pharmacy, LLC
• Wendy Robin Glaberson, M.D.
• David Glabman, MD

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.