MEDICARE: JOSE EDUARDO OSORIO-LOPEZ 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	PA9101902	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720090061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE EDUARDO OSORIO-LOPEZ PA-C

Provider Business Mailing Address
First Line	:	2370 CORPORATE CIR
Second Line	:	STE 300
City	:	HENDERSON
State	:	NV
Zip	:	89074-7760
Country	:	US
Telephone Number	:	702-910-3950
Fax Number	:

Provider Business Practice Location Address
First Line	:	6150 N US HIGHWAY 41
Second Line	:
City	:	APOLLO BEACH
State	:	FL
Zip	:	33572-1806
Country	:	US
Telephone Number	:	813-641-0007
Fax Number	:	813-641-0009

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	01/30/2023

Similar Medicare Providers

1225120611 — MR. PATRICK MARK SWEENEY RPH
Practice Location Address:

6188 N US HIGHWAY 41
APOLLO BEACH, FL
33572-1806

Practice Phone: 813-649-1304
Practice Fax: 813-649-1305

1427268374 — DAVID ANTHONY SAGY R.PH
Practice Location Address:

6188 N US HIGHWAY 41
APOLLO BEACH, FL
33572-1806

Practice Phone: 813-649-1304
Practice Fax:

1396046520 — DR. DAVID KARL FETHERMAN D.C.
Practice Location Address:

6152 N US HIGHWAY 41
APOLLO BEACH, FL
33572-1806

Practice Phone: 570-561-6565
Practice Fax:

1245533025 — MARISSA ELIZABETH FETHERMAN D.C.
Practice Location Address:

6152 N US HIGHWAY 41
APOLLO BEACH, FL
33572-1806

Practice Phone: 586-255-0393
Practice Fax:

1811259237 — MEDICAL ASSOCIATES OF TAMPA BAY, LLC
Practice Location Address:

6150 N US HIGHWAY 41
APOLLO BEACH, FL
33572-1806

Practice Phone: 813-641-0007
Practice Fax:

1144694613 — SPINE-ABILITY CHIROPRACTIC & REHAB
Practice Location Address:

6152 N US HIGHWAY 41
APOLLO BEACH, FL
33572-1806

Practice Phone: 586-255-0393
Practice Fax:

Directions to “ JOSE EDUARDO OSORIO-LOPEZ 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.