MEDICARE: DR. WILCANOR LOPEZ MD

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	208D00000X	General Practice Physician	ACN1663	PR

General Provider Information

NPI Number	:	1457098253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILCANOR LOPEZ MD

Provider Business Mailing Address
First Line	:	931 W OAK ST STE 103
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4973
Country	:	US
Telephone Number	:	407-931-0444
Fax Number	:	407-962-4446

Provider Business Practice Location Address
First Line	:	2330 NORTH BLVD W
Second Line	:
City	:	DAVENPORT
State	:	FL
Zip	:	33837-8989
Country	:	US
Telephone Number	:	407-931-0444
Fax Number	:	407-962-4446

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

Provider Enumeration Date	:	05/13/2022
Last Update Date	:	03/07/2025

Similar Medicare Providers

1710959622 — MR. JOSE LUIS LIZARDI PA-C
Practice Location Address:

2330 NORTH BLVD W
DAVENPORT, FL
33837-8989

Practice Phone: 407-931-0444
Practice Fax: 407-962-4446

1841376902 — MRS. MINELY MARTINEZ VELAZQUEZ MD
Practice Location Address:

2330 NORTH BLVD W
DAVENPORT, FL
33837-8989

Practice Phone: 407-931-0444
Practice Fax: 407-962-4446

1528581113 — MRS. TATIANA JANETH SANCHEZ FNP-C
Practice Location Address:

2330 NORTH BLVD W
DAVENPORT, FL
33837-8989

Practice Phone: 407-931-0444
Practice Fax: 407-962-4446

1508798729 — MARIA I ORTA DMD
Practice Location Address:

40214 HIGHWAY 27
DAVENPORT, FL
33837-7805

Practice Phone: 863-334-4112
Practice Fax:

1336787415 — DAYANARA E REYES
Practice Location Address:

130 RIDGE CENTER DR
DAVENPORT, FL
33837-6413

Practice Phone: 866-234-8534
Practice Fax:

1669567566 — DR. LORI M GAINOUS PHARM.D.
Practice Location Address:

5000 GRANDVIEW PKWY
DAVENPORT, FL
33837-2300

Practice Phone: 863-256-1052
Practice Fax:

Directions to “ DR. WILCANOR LOPEZ MD” 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.