Individual provider · Type 1 NPI
Wanda Y. Gomez Lopez, MD
General Practice Physician · Kissimmee, FL
NPI number
1215030630
Active
Practice location
910 W Vine St
Kissimmee, FL 34741-4165
Fax (407) 978-6644
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | ACN1011 (FL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
3 other providers at this address
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- Luciol D. Livette, MDGeneral Practice Physician Kissimmee, FL NPI 1023409984
- Oscaralin Rodriguez Justiniano, MDGeneral Practice Physician Kissimmee, FL NPI 1023981677
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About NPI 1215030630
Wanda Y. Gomez Lopez, MD's National Provider Identifier is 1215030630, issued on Sep 7, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Kissimmee, FL. The record was last updated on Mar 7, 2023.