Lopez-Mendez, Ada
Lopez-Mendez, Ada is an individual health care provider with primary practice located at 635 1St St N , Winter Haven FL 33881-4129. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Lopez-Mendez, Ada can be contacted via phone (863) 294-0670.Contact Information
Primary practice address
635 1St St N
Winter Haven FL 33881-4129
Phone: (863) 294-0670
Fax: (863) 298-3200
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME58686 | Florida |
Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | ME58686 | Florida |
Profile Details
NPI number | 1841267143 |
---|---|
LBN Legal business name | Lopez-Mendez, Ada |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2006 |
Last updated | Dec 11th, 2014 - about 10 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841267143 | NPPES |
Florida | Other | 11595 | BCBS FL |
Florida | MEDICAID | 371637600 | BCBS FL |
Florida | Other | P00715125 | BCBS FL |
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