Ophelie Primary Care PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OPHELIE PRIMARY CARE PA

Doing business as

Ophelie Primary Care PA

Practice address

5607 26TH St W
Bradenton, FL 34207-3516

Phone

(914) 815-7905

NPI assigned

Apr 9, 2021

Organization subpart

No

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

Authorized official

Name

Ofelia Lopez

Title

MD/Owner

Phone

(914) 815-7905

Specialties & licenses 1

Addresses

Other names 1

• Ophelie Primary Care PA Doing business as

Locations

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618185600000",
    "number": "1891375390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073516",
            "telephone_number": "914-815-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073516",
            "telephone_number": "914-815-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHELIE PRIMARY CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "OFELIA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "914-815-7905"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ophelie Primary Care PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.