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Provider Information for 1427243021

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. MELITZA LOPEZ VALLE

Other Name:   MELITZA LOPEZ VALLE
Gender: FEMALE

Individual NPI: 1427243021

Calendar   Last Updated:  2021-03-01
  Certification Date:  2021-03-01

Details

Name Value
NPI 1427243021
Enumeration Date 2007-09-07
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 121 S ORANGE AVE STE 940
ORLANDO, FL 32801-3234
United States

Phone: 321-332-6947 | Fax: 352-606-2857
View Map External Link
Primary Practice Address 1502 VILLAGE OAK LN
KISSIMMEE, FL 34746-6558
United States

Phone: 407-520-3588 | Fax: 407-978-6757
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 208D00000X - General Practice FL ME137458
No 208D00000X - General Practice PR 18298