MEDICARE: MILDRED LOPEZ GARRIDO P.A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	PA9108314	FL

General Provider Information

NPI Number	:	1134523525
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MILDRED LOPEZ GARRIDO P.A

Provider Business Mailing Address
First Line	:	8306 FLOWERFIELD DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-1825
Country	:	US
Telephone Number	:	786-454-6866
Fax Number	:

Provider Business Practice Location Address
First Line	:	6107 MEMORIAL HWY STE A
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-4564
Country	:	US
Telephone Number	:	813-514-2328
Fax Number	:	813-514-2485

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	07/07/2022

Similar Medicare Providers

1356047740 — MRS. VAGISHA VADHEL PT,MPT
Practice Location Address:

6107 MEMORIAL HWY STE D
TAMPA, FL
33615-4564

Practice Phone: 813-890-3400
Practice Fax:

1801066071 — DIVINE HOME HEALTH CARE, INC
Practice Location Address:

6107 MEMORIAL HWY STE B
TAMPA, FL
33615-4564

Practice Phone: 813-890-3400
Practice Fax: 813-464-8069

1063899615 — CAMILA AVILA M.D.
Practice Location Address:

6107 MEMORIAL HWY STE A
TAMPA, FL
33615-4564

Practice Phone: 813-514-2328
Practice Fax: 813-514-2485

1356926240 — TOWN N COUNTRY MEDICAL CARE LLC
Practice Location Address:

6107 MEMORIAL HWY STE A
TAMPA, FL
33615-4564

Practice Phone: 813-514-2328
Practice Fax: 813-514-2485

1568215366 — JULIO CESAR CORDOVI FNP-C
Practice Location Address:

6107 MEMORIAL HWY STE B
TAMPA, FL
33615-4564

Practice Phone: 813-890-3400
Practice Fax:

1275348526 — DIVINE MEDICAL CENTER, INC
Practice Location Address:

6107 MEMORIAL HWY STE B
TAMPA, FL
33615-4564

Practice Phone: 813-810-8650
Practice Fax:

Directions to “ MILDRED LOPEZ GARRIDO P.A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.