| Brenda Karina Lopez Llc | |
|
38040 Daughtery Rd Zephyrhills FL 33540-1375 | |
| (813) 713-6499 | |
| (877) 544-7007 |
| Full Name | Brenda Karina Lopez Llc |
|---|---|
| Speciality | Social Worker |
| Location | 38040 Daughtery Rd, Zephyrhills, Florida |
| Authorized Official Name and Position | Brenda Karina Lopez Llc (OWNER/MANAGER) |
| Authorized Official Contact | 8132171029 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Karina Lopez Llc Po Box 2766 Zephyrhills FL 33539-2766 Ph: (813) 217-1029 | Brenda Karina Lopez Llc 38040 Daughtery Rd Zephyrhills FL 33540-1375 Ph: (813) 713-6499 |
| NPI Number | 1528428240 |
|---|---|
| Provider Enumeration Date | 02/24/2016 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 3072818079 |
|---|---|
| Medicare Enrollment ID | O20160301000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528428240 | NPI | - | NPPES |
| Provider Name | Brenda K Lopez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558782342 PECOS PAC ID: 7315242310 Enrollment ID: I20160301000733 |
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