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

Tiffany Marie Lopez

Individual provider Gerontology Nurse Practitioner · NPI 1790613560

Tiffany Marie Lopez is a Gerontology Nurse Practitioner in Eustis, Florida. Licensed in Florida. Registered with an NPI since 2026.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

1850 Prevatt St
Eustis, FL 32726-6123
Phone: (352) 253-2511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11045638 (FL)

Record details

NPI number1790613560
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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