MEDICARE: MRS. AMBER WALLACE LOPER PA-C

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	363A00000X	Physician Assistant	PA9105182	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	12268338	OTHER	CAQH
3	Y08MR	OTHER	BLUE CROSS

General Provider Information

NPI Number	:	1629305883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMBER WALLACE LOPER PA-C

Provider Business Mailing Address
First Line	:	24514 VOLTERRA CT
Second Line	:
City	:	LUTZ
State	:	FL
Zip	:	33559-7361
Country	:	US
Telephone Number	:	813-382-5181
Fax Number	:

Provider Business Practice Location Address
First Line	:	2815 W VIRGINIA AVE
Second Line	:	STE A
City	:	TAMPA
State	:	FL
Zip	:	33607-6357
Country	:	US
Telephone Number	:	855-834-6911
Fax Number	:	813-405-3004

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

Provider Enumeration Date	:	11/09/2009
Last Update Date	:	11/10/2016

Similar Medicare Providers

1699621029 — KELLY ANN ANTONIAK FNP-BC
Practice Location Address:

2815 W VIRGINIA AVE
TAMPA, FL
33607-6357

Practice Phone: 813-544-3208
Practice Fax:

1316938699 — DR. CLINTON C. PITTMAN M. D.
Practice Location Address:

2815 W VIRGINIA AVE , STE A
TAMPA, FL
33607-6357

Practice Phone: 855-834-6911
Practice Fax: 813-443-5600

1396965414 — DR. LEYUN SHAO A.P.
Practice Location Address:

2815 W VIRGINIA AVE , SUITE B
TAMPA, FL
33607-6357

Practice Phone: 813-872-4868
Practice Fax: 813-872-4868

1265649370 — DR. JAMES ODELL BROOKINS JR. M.D.
Practice Location Address:

2815 W VIRGINIA AVE , STE A
TAMPA, FL
33607-6357

Practice Phone: 813-876-0038
Practice Fax: 813-876-0103

1295039691 — CHRIS PITTMAN MD PA
Practice Location Address:

2815 W VIRGINIA AVE , SUITE A
TAMPA, FL
33607-6357

Practice Phone: 855-834-6911
Practice Fax: 813-443-5600

1891330353 — MICHELLE DICKINSON
Practice Location Address:

2815 W VIRGINIA AVE STE A
TAMPA, FL
33607-6357

Practice Phone: 855-834-6911
Practice Fax:

Directions to “ MRS. AMBER WALLACE LOPER PA-C” 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.