MEDICARE: ABLECAREMED HEALTH LLC

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	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1598522104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLECAREMED HEALTH LLC

Provider Business Mailing Address
First Line	:	1621 KERSLEY CIR
Second Line	:
City	:	LAKE MARY
State	:	FL
Zip	:	32746-1925
Country	:	US
Telephone Number	:	321-317-6199
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 TREEMONTE DR
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-7977
Country	:	US
Telephone Number	:	321-317-6199
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. FELIX IVAN LOPEZ BERMUDEZ
Credential	:	MD
Telephone Number	:	321-317-6199

Provider Enumeration Date	:	02/29/2024
Last Update Date	:	03/05/2024

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Directions to “ABLECAREMED HEALTH LLC ” Practice Location

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