FLORENTINO ALBERTO LUPERCIO LOPEZ (NPI# 1871901793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871901793 |
| Entity Type | Individual |
| Full Name | FLORENTINO ALBERTO LUPERCIO LOPEZ |
| Credential | MD |
| Practice Address |
305 Memorial Medical Pkwy Ste 300 Daytona Beach FL 32117-5170 |
| Mailing Address |
305 Memorial Medical Pkwy Ste 300 Daytona Beach FL 32117-5170 |
| Practice Telephone | 3866721023 |
| Mailing Telephone | 3866721023 |
| Mailing Fax Number | 3862632996 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME144467 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME144467 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1400 Pelham Pkwy S, Bldg 1, 3n-21, Bronx, NY 104611138 | 7189185640 | 7189187460 |
| Street Address |
305 MEMORIAL MEDICAL PKWY STE 300 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043488661 | Huijian James Wang | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2008-02-16 |
| 1164948360 | Heart Rhythm Specialists At Daytona LLC | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2017-08-18 |
| 1851552665 | Complete Cardiology Care, P.a. | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669589263 | Lewis & Klancke Cardiology Pa | Internal Medicine | 695 N Clyde Morris Blvd, Daytona Beach, FL 32114 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957336 | Charlotte Arrhythmia Center Pllc | Internal Medicine | 3400 Tamiami Trl Bldg 2, Port Charlotte, FL 33952-8102 | 2020-09-16 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1780150524 | Winter Haven Hospital Inc | Internal Medicine | 200 Avenue F Ne Fl 2, Winter Haven, FL 33881-4131 | 2018-10-19 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1629511035 | Ibrahim Heart Clinic Pllc | Internal Medicine | 13842 Harbor Creek Pl, Jacksonville, FL 32224-6895 | 2016-12-02 |
| 1710385240 | Heart Rhythm Center of South Florida Pa | Internal Medicine | 7000 Sw 97th Ave., Suite 102, Miami, FL 33173-1474 | 2014-12-16 |
| 1306262712 | Ian Parker | Internal Medicine | 6720 Crews Wood Ln, Lakeland, FL 33813-3955 | 2014-03-10 |
| 1578987855 | Integrated Care,llc | Internal Medicine | 603 North Flamingo Road, Suite 255, Pembroke Pines, FL 33028-1013 | 2014-02-07 |
| 1861768061 | Zubin Agarwal | Internal Medicine | 1600 Sw Archer Rd # 5, Gainesville, FL 32610-1473 | 2012-04-02 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.