IndividualActive
Wanda Gomez Lopez, M.D.
NPI 1215030630 · General Practice Physician · Kissimmee, FL
Provider details
- NPI number
- 1215030630
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- ACN1011 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
910 W Vine St
Kissimmee, FL 34741-4165
Phone: (407) 517-9582
Fax: (407) 978-6644
Street-level locationGet directions
Mailing address
121 S Orange Ave Ste 940
Orlando, FL 32801-3234
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.