NPI 1013722115

Taylor Nicole Lopez, PAC

Practitioner Physician Assistant Palmetto Bay, FL

Practice location

Address: 9333 SW 152nd St, Palmetto Bay, FL 33157-1778
Phone: (305) 251-2500
Mailing address: 4506 E Aqua Bella Ln, Fort Lauderdale, FL 33312-5651

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 9119782 (FL)

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Registry record

NPI: 1013722115
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2025
Record last updated: 7 Feb 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.