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Nicole Lopez, MS,LAT,ATC — NPI 1225675358, Orlando, FL | NPI Central

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NPI 1225675358

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Nicole Lopez, MS,LAT,ATC

NPI 1225675358 · Sports Medicine (Emergency Medicine) Physician · Orlando, FL

Provider details

NPI number: 1225675358
Entity type: Individual
Primary specialty: Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
Credential: MS,LAT,ATC
Sex: Female
Sole proprietor: Yes
License: AL-6213 (FL)

Specialties & taxonomies

Sports Medicine (Emergency Medicine) PhysicianPrimary207PS0010XLicense LAT-4037 (NC)
Allopathic & Osteopathic Physicians
Orthopaedic Surgery Physician207X00000XLicense AL-6213 (FL)
Allopathic & Osteopathic Physicians

Practice location

10000 Usta Blvd

Orlando, FL 32827

Phone: (407) 675-2798

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

10000 Usta Blvd

Orlando, FL 32827-7329

Additional practice locations (1)

501 N Main St
Louisburg, NC 27549-2399
Phone: (919) 497-3346

Registry dates

Enumerated: 2019-12-09
Last updated: 2022-08-31
Certified: 2022-08-31

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.