Jessica M Lopez Fontanez
Jessica M Lopez Fontanez is a Nurse Practitioner in Sarasota, Florida. Qualified in 2021, 5 years ago. Practices with Restore Medical Partners PLLC, a 14-clinician group. Licensed in Florida.
- Years since qualifying
- 5
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
5605 Mauna Loa Blvd Unit 113Sarasota, FL 34240-8942
Phone: (813) 534-8196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 11013145 (FL) |
|---|
Record details
| NPI number | 1073286498 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 30, 2021 |
| Last updated in NPPES | July 30, 2021 |
| Certification date | July 30, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Restore Medical Partners Pllc — 14 clinicians |
| Accepts Medicare assignment | Not indicated |
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