Individual provider Active NPI

Robert Lopez, M.D.

  • Family Medicine Physician
  • Daytona Beach, FL
National Provider Identifier
1285830257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
TRN11354 Issued in FL
Practice address
303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709
Phone
(386) 254-4000
NPI assigned
Jun 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X TRN11354 FL Primary

Addresses

Primary practice location

303 N Clyde Morris Blvd
Daytona Beach, FL 32114-2709

Mailing address

44 Wicksfield CT
Ormond Beach, FL 32174-4849
Phone (312) 209-9389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000256 FL Practitioner - Family Practice 5092830729 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carespot of Orlando Hsi Urgent Care LLCGroup PAC ID 8921372558, 55 clinicians

Practice addresses (Care Compare)

2323 S Orange Ave a
Carespot Urgent Care
Orlando, FL 32806-3059
Phone (407) 418-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN11354FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shands/Solantic Joint Venture, LLC CurrentSince Sep 1, 2017 Accepting new patients
Hma/Solantic Joint Venture, LLC CurrentSince Sep 1, 2017 Accepting new patients
Solantic of Jacksonville, LLC Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Solantic/South Florida, LLC CurrentSince Sep 1, 2017 Accepting new patients
Carespot of Orlando Hsi Urgent Care LLC Family Medicine CurrentSince Sep 1, 2017 Accepting new patients

Locations

3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202

3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449

720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000

2401 Monument Rd
Jacksonville, FL 32225
Phone (904) 642-0337

410 Atlantic Blvd
Neptune Beach, FL 32266
Phone (904) 223-2343

2140 Kingsley Ave
Orange Park, FL 32073
Phone (904) 213-0600

2323 S Orange Ave
Ste A
Orlando, FL 32806
Phone (407) 418-9999

2555 S Kirkman Rd
Orlando, FL 32811
Phone (407) 362-2030

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

1205 N University Dr
Pompano Beach, FL 33071
Phone (954) 780-8134

784 E Prima Vista Blvd
Port St Lucie, FL 34952
Phone (772) 878-7311

1820 58th Ave
Ste 110
Vero Beach, FL 32966
Phone (772) 257-3200

463941 State Road 200
Yulee, FL 32097
Phone (904) 572-1959

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285830257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 WICKSFIELD CT",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744849",
            "telephone_number": "312-209-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142709",
            "telephone_number": "386-254-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN11354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.