Floridamd Clinic PA
Family Medicine in Altamonte Springs, FL. Organization (NPI-2).
NPI number1649064239
StatusActive
Last updated in NPPESJun 3, 2026
Details
- NPI
- 1649064239
- Entity type
- Organization (NPI-2)
- Legal business name
- Floridamd Clinic PA
- Organization subpart
- No
- Enumeration date
- Apr 8, 2025
- Certification date
- Jun 3, 2026
- Last updated
- Jun 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
210 N Westmonte Dr # 1001Altamonte Springs, FL 32714-3311
Phone 407-663-0401 · Fax 407-606-8874
Mailing address
210 N Westmonte Dr # 1001Altamonte Springs, FL 32714-3311
Phone 407-663-0401 · Fax 407-214-2749
Authorized official
Jose Luis Lopez Rivera
Physician
4076330401
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