MEDICARE: TEAM LOPEZ CHIROPRACTIC INC

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	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1184843393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEAM LOPEZ CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	15497 STONEYBROOK WEST PKWY
Second Line	:	SUITE 180
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4770
Country	:	US
Telephone Number	:	407-654-9888
Fax Number	:	407-654-9886

Provider Business Practice Location Address
First Line	:	15497 STONEYBROOK WEST PKWY
Second Line	:	SUITE 180
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-4770
Country	:	US
Telephone Number	:	407-654-9888
Fax Number	:	407-654-9886

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NASLY MENENDEZ LOPEZ
Credential	:	D,C.
Telephone Number	:	407-654-9888

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	07/30/2008

Similar Medicare Providers

1114035961 — DR. NASLY MENENDEZ LOPEZ D.C.
Practice Location Address:

15497 STONEYBROOK WEST PKWY , SUITE 180
WINTER GARDEN, FL
34787-4770

Practice Phone: 407-654-9888
Practice Fax: 407-654-9886

1245341452 — DR. FRANCISCO LOPEZ D.C.
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Practice Location Address:

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1760313290 — HALEY EKSTROM
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