MEDICARE: DR. LOUIS VINCENT LAVOPA M.D.

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	207P00000X	Emergency Medicine Physician	ME63585	FL
2	207P00000X	Emergency Medicine Physician	ME 63585	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457333858
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS VINCENT LAVOPA M.D.

Provider Business Mailing Address
First Line	:	841 PRUDENTIAL DR STE 1400
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8364
Country	:	US
Telephone Number	:	904-396-5682
Fax Number	:	904-346-0864

Provider Business Practice Location Address
First Line	:	US NAVAL HOSPITAL JACKSONVILLE
Second Line	:	2080 CHILD ST
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-0001
Country	:	US
Telephone Number	:	904-542-7340
Fax Number	:

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

Provider Enumeration Date	:	11/19/2005
Last Update Date	:	10/19/2020

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Directions to “ DR. LOUIS VINCENT LAVOPA M.D.” Practice Location

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