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

Jennifer Lopez

Individual provider Physician Assistant · NPI 1972324523

Jennifer Lopez is a Physician Assistant in Pembroke Pines, Florida. Qualified in 2024, 2 years ago. Practices with Aqua Dermatology of Florida, PA, a 184-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

603 N Flamingo Rd Ste 350
Pembroke Pines, FL 33028-1013
Phone: (954) 435-5100
Fax: (954) 381-8210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9120056 (FL)

Record details

NPI number1972324523
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2024
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025
Mailing address900 Village Square Xing Ste 290, Palm Beach Gardens, FL 33410-4552

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Aqua Dermatology Of Florida, Pa — 184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pembroke Pines