Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Lopez, MD

Individual provider Dermatology Physician · NPI 1619317575

Dr. Jonathan Lopez, MD is a Micrographic Dermatologic Surgery (Mds) in Tampa, Florida. Graduated from University of South Florida College of Medicine in 2013, 13 years ago. Practices with Premier Dermatology, LLC, a 47-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
13
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2013
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2727 W Dr Mlk Blvd Ste 570
Tampa, FL 33607-6009
Phone: (813) 867-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence ME133606 (FL)
Dermatology Physician Taxonomy 207N00000X · Licence ME133606 (FL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence ME133606 (FL)

Record details

NPI number1619317575
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESAugust 9, 2020
Certification dateAugust 9, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Premier Dermatology, Llc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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