Organization
FLORIDAMD CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE LOPEZ RIVERA MD (OWNER)
(307) 401-1027
Entity
Organization
Contact information
Practice address
210 N WESTMONTE DR # 1001, ALTAMONTE SPRINGS, FL 32714-3311
(407) 663-0401
(407) 606-8874
Mailing address
210 N WESTMONTE DR # 1001, ALTAMONTE SPRINGS, FL 32714-3311
(407) 663-0401
(407) 214-2749
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126651900
—
FL
Enumeration date
04/08/2025
Last updated
04/27/2026
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