| Jason O Lopez, | |
|
2 Tampa General Cir, Tampa, FL 33606-3571 | |
| (813) 821-8038 | |
| (813) 974-0483 |
| Full Name | Jason O Lopez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2 Tampa General Cir, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912533076 | NPI | - | NPPES |
| 1171308 | Other | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANT (NCCPA) | |
| 119492900 | Medicaid | FL | |
| 9IGTX | Other | FL | BCBS |
| 024865 | Other | NY | NYS EDUCATION DEPTARMENT OFFICE OF PROFESSIONS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 024865 (New York) | Secondary |
| 363A00000X | Physician Assistant | PA9117464 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jason O Lopez, Po Box 917770, Orlando, FL 32891-0001 Ph: (813) 821-8038 | Jason O Lopez, 2 Tampa General Cir, Tampa, FL 33606-3571 Ph: (813) 821-8038 |
Randi Marie Bustin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1502 E Fowler Ave, Tampa, FL 33612 Phone: 813-866-0950 Fax: 813-866-0929 | |
Mrs. Jennifer Rose Baker Koebert, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4001 E Fletcher Ave Fl 6, Tampa, FL 33613 Phone: 813-396-0768 | |
Tracie L Patel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10740 Palm River Rd Ste 360, Tampa, FL 33619 Phone: 813-844-7585 Fax: 813-844-5877 | |
Mr. Anthony Bromagen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12880 Commodity Pl, Tampa, FL 33626 Phone: 813-343-5500 Fax: 813-343-5506 | |
Lauren N. Yates, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16646 North Dale Mabry Highway, Tampa, FL 33618 Phone: 813-908-5253 Fax: 813-355-5895 | |
Mr. Eddy Jose Lopez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4507 N Armenia Ave, Tampa, FL 33603 Phone: 813-876-4100 Fax: 813-876-4153 | |
Ms. Lisa Albero, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13000 Bruce B Downs Blvd, Tampa, FL 33612 Phone: 813-972-2000 |