Organization
ADVANCED COMPREHENSIVE CARE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA IRENE LOPEZ APRN (OWNER)
(352) 457-7907
Entity
Organization
Contact information
Practice address
1101 SOUTH EUSTIS ST, EUSTIS, FL 32726-5558
(352) 589-9661
(352) 589-5983
Mailing address
1101 S EUSTIS ST, EUSTIS, FL 32726-5558
(352) 589-9661
(352) 589-5983
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131003100
—
FL
Enumeration date
02/25/2025
Last updated
05/03/2026
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