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Contact Information

NICOLE LOPEZ, MS,LAT,ATC
10000 USTA BLVD
ORLANDO, FL32827
 Phone: 407-675-2798
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NICOLE LOPEZ · (Female)

NPI Number 1225675358
Status Active
Credentials MS,LAT,ATC
Entity Individual
Enumeration date 12/09/2019
Last updated 08/31/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # AL-6213
  • NC License # LAT-4037
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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