Floridamd Clinic PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FLORIDAMD CLINIC PA

Practice address

210 N Westmonte Dr # 1001
Altamonte Springs, FL 32714-3311

Phone

(407) 663-0401

Fax

(407) 606-8874

NPI assigned

Apr 8, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Lopez Rivera, MDNPI 1164710182

Title

Physician

Phone

(407) 633-0401

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Luis Lopez Rivera, M.D

  • Family Medicine Physician
  • Altamonte Springs, FL
  • NPI 1164710182
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1649064239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N WESTMONTE DR # 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143311",
            "telephone_number": "407-663-0401",
            "fax_number": "407-214-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N WESTMONTE DR # 1001",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327143311",
            "telephone_number": "407-663-0401",
            "fax_number": "407-606-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDAMD CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-08",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ RIVERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-633-0401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126651900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Urgent Care Centers, LLC.
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Florida Woman Care,LLC
• Jamie Lynn Flowers, LCSW
• Raymond P Foglia, RPH
• Lindzee E Folgate, PA
• Lauren Folio, DPT
• Ryan Jennifer Fontaine, MA, LMHC

• Family Medicine Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.