Dr Frank Antolin Lopez, MD | |
1992 Mizell Ave, Winter Park, FL 32792-4117 | |
(407) 644-4844 | |
(407) 644-6101 |
Full Name | Dr Frank Antolin Lopez |
---|---|
Gender | Male |
Speciality | Pediatrics - Neurodevelopmental Disabilities |
Location | 1992 Mizell Ave, Winter Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154453397 | NPI | - | NPPES |
0407010400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0008X | Pediatrics - Neurodevelopmental Disabilities | ME54457 (Florida) | Primary |
Entity Name | Pediatrix Medical Group Of Florida Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
Mailing Address | Practice Location Address |
---|---|
Dr Frank Antolin Lopez, MD 121 S Phelps Ave, Winter Park, FL 32789-5200 Ph: (407) 678-1822 | Dr Frank Antolin Lopez, MD 1992 Mizell Ave, Winter Park, FL 32792-4117 Ph: (407) 644-4844 |
Dr. Nicholo J. Sartor, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1801 Lee Rd Ste 165, Winter Park, FL 32789 Phone: 407-975-0410 Fax: 407-975-0413 | |
Vanessa Alisa Gutierrez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 N Lakemont Ave, Pediatric Inpt Care At Winter Park, Winter Park, FL 32792 Phone: 407-303-2528 Fax: 407-303-2760 | |
Dr. Shivani Verma, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2660 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-898-2767 Fax: 407-898-9443 | |
Clifford Allen Selsky, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2830 Casa Aloma Way, Winter Park, FL 32792 Phone: 407-335-4760 Fax: 877-695-8583 | |
Md Saif Al Haque, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2325 W Fairbanks Ave, Winter Park, FL 32789 Phone: 407-539-0311 | |
Dr. Danielle Charisse Wallace, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1801 Lee Rd Ste 165, Winter Park, FL 32789 Phone: 407-975-0410 Fax: 407-975-0413 |