Experiontech, LLC

Surgical Physician Assistant · Clermont, FL

Organization Active NPI

NPI number 1114403276

Practice location

16756 Abbey Hill Ct
Clermont, FL 34711-6353
Phone
(407) 480-0295

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NPI record

NPI
1114403276
Entity type
Organization (Type 2)
Enumeration date
July 12, 2018
Last updated
December 16, 2023
Certified
December 16, 2023
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgical Physician Assistant Primary 363AS0400X 18324 FL

Authorized official

Name
Paul Lopez, SA-C
Title
Provider
Phone
(407) 480-0295

About Experiontech, LLC

Experiontech, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgical Physician Assistant (code 363AS0400X). The practice location is 16756 Abbey Hill Ct, Clermont, FL 34711-6353. The NPI number 1114403276 was assigned on July 12, 2018 and the record was last updated on December 16, 2023.

Experiontech, LLC lists a license in the registry: #18324 (FL) for Surgical Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Paul Lopez, SA-C, Provider.

Frequently asked questions

What is the NPI number of Experiontech, LLC?

The NPI number is 1114403276.

What is the phone number of Experiontech, LLC?

The phone number listed for the practice location is (407) 480-0295.

Where is Experiontech, LLC located?

16756 Abbey Hill Ct, Clermont, FL 34711-6353.

What is the taxonomy code for Experiontech, LLC?

The primary taxonomy code is 363AS0400X – Surgical Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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