| Dr Yamil Carlo Lopez, MD | |
|
941 N 14th St, Leesburg, FL 34748-3838 | |
| (352) 326-4031 | |
| (352) 360-0257 |
| Full Name | Dr Yamil Carlo Lopez |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 941 N 14th St, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588270748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ACN1435 (Florida) | Primary |
| Entity Name | Centerwell Senior Primary Care Fl Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487686705 PECOS PAC ID: 9830184738 Enrollment ID: O20040419001657 |
| Entity Name | Orlando Family Medical Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023119641 PECOS PAC ID: 7416055454 Enrollment ID: O20070614000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Yamil Carlo Lopez, MD 6101 Blue Lagoon Dr Ste 200, Miami, FL 33126-3168 Ph: (844) 630-0700 | Dr Yamil Carlo Lopez, MD 941 N 14th St, Leesburg, FL 34748-3838 Ph: (352) 326-4031 |
Dr. Jackeline Lopez, General Practice Medicare: Accepting Medicare Assignments Practice Location: 801 E Dixie Ave Ste 101, Leesburg, FL 34748 Phone: 352-326-4031 Fax: 352-360-0257 | |
Jose Llamas, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 352-350-2014 | |
Blandine Pierre, MD General Practice Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Dr. Hamidreza Ebneshahidi, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 844-388-6186 | |
Omar Jose Vazquez Alicea, MD General Practice Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Dr. Yanira R. Feliciano Montalvo, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 601 E Dixie Ave Ste 102, Leesburg, FL 34748 Phone: 352-350-8888 Fax: 844-388-6186 |