Lopez, Astrid Jannette

Lopez, Astrid Jannette is an individual health care provider with primary practice located at 816 W Oak St , Kissimmee FL 34741-6625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lopez, Astrid Jannette can be contacted via phone (407) 944-9777.

Contact Information

Primary practice address
816 W Oak St Kissimmee FL 34741-6625
Phone: (407) 944-9777
Fax: (407) 944-9796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C10007949 Delaware
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13544 Puerto Rico
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98788 Florida

Profile Details

NPI number 1831156470
LBN Legal business name Lopez, Astrid Jannette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Mar 14th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831156470 NPPES
Florida Other 01390000 AMERIGROUP
Florida Other 148FZ AMERIGROUP
Florida MEDICAID 81178200 AMERIGROUP
Florida Other B1510 AMERIGROUP
Florida Other 51807 AMERIGROUP

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