Organization Active NPI

Waterford Lakes Women'S Health Center

  • Obstetrics & Gynecology Physician
  • Orlando, FL
National Provider Identifier
1700871795
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WATERFORD LAKES WOMEN'S HEALTH CENTER
Practice address
11399 Lake Underhill Rd
Orlando, FL 32825-5023
Phone
(407) 207-6768
Fax
(407) 249-5025
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Fernando Lopez, M.D.NPI 1730174319
Title
Owner
Phone
(407) 207-6768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X FL
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X FL Primary

Addresses

Primary practice location

11399 Lake Underhill Rd
Orlando, FL 32825-5023

Mailing address

11399 Lake Underhill Rd
Orlando, FL 32825-5023
Phone (407) 207-6768

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1005677Waterford Lakes Womans Health Center11399 Lake Underhill Rd Ste a, Orlando, FL 32825Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

930 S Semoran Blvd
Orlando, FL 32807
Phone (407) 207-6768

11399 Lake Underhill Rd
Ste A
Orlando, FL 32825
Phone (407) 207-6768

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1700871795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11399 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255023",
            "telephone_number": "407-207-6768",
            "fax_number": "407-249-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11399 LAKE UNDERHILL RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328255023",
            "telephone_number": "407-207-6768",
            "fax_number": "407-249-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERFORD LAKES WOMEN'S HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-207-6768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.