# FLORIDAMD CLINIC PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649064239
- **Authorized official:** DR. JOSE LUIS LOPEZ RIVERA MD (PHYSICIAN)
- **Authorized official phone:** (407) 633-0401

## Contact information

- **Practice address:** 210 N WESTMONTE DR \# 1001, ALTAMONTE SPRINGS, FL 32714-3311
- **Practice address phone:** (407) 663-0401
- **Practice address fax:** (407) 606-8874
- **Mailing address:** 210 N WESTMONTE DR \# 1001, ALTAMONTE SPRINGS, FL 32714-3311
- **Mailing address phone:** (407) 663-0401
- **Mailing address fax:** (407) 214-2749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2025
- **Last updated:** 06/03/2026