Lopez, Ivelisse

Lopez, Ivelisse is an individual health care provider with primary practice located at 2880 S Osceola Ave , Orlando FL 32806-5431. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Lopez, Ivelisse can be contacted via phone (407) 843-0443.

Contact Information

Primary practice address
2880 S Osceola Ave Orlando FL 32806-5431
Phone: (407) 843-0443
Fax: (407) 843-0442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME82595 Florida

Profile Details

NPI number 1316913171
LBN Legal business name Lopez, Ivelisse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316913171 NPPES
Florida MEDICAID 262579200

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