OrganizationActive
Experiontech, LLC
NPI 1114403276 · Surgical Physician Assistant · Clermont, FL
Provider details
- NPI number
- 1114403276
- Entity type
- Organization
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Paul Lopez, Provider(407) 480-0295
- License
- 18324 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16756 Abbey Hill Ct
Clermont, FL 34711-6353
Phone: (407) 480-0295
Street-level locationGet directions
Mailing address
16756 Abbey Hill Ct
Clermont, FL 34711-6353
Registry dates
- Enumerated
- 2018-07-12
- Last updated
- 2023-12-16
- Certified
- 2023-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.