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EXPERIONTECH, LLC
NPI 1114403276
Physician Assistant - Surgical in Clermont, FL

Active since July 12, 2018
16756 ABBEY HILL CT, CLERMONT, FL 34711(407) 480-0295 Get Directions Write a Review

NPPES record last updated: December 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2023, Jul 12, 2018 (2 updates tracked since 2018).

About Experiontech, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXPERIONTECH, LLC (NPI 1114403276) is a healthcare organization registered as a surgical in Clermont, Florida and active in the NPI registry since July 2018. The organization lists Paul Lopez, Provider, as its authorized official.

NPPES Registry Identity

NPI1114403276
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameEXPERIONTECH, LLC
Location Address16756 ABBEY HILL CTClermont, FL 34711-6353
Mailing Address16756 Abbey Hill CtClermont, FL 34711-6353 · (407) 480-0295
Phone(407) 480-0295
Organization SubpartNo
Authorized OfficialPaul LopezProvider · (407) 480-0295
Enumeration DateJuly 12, 2018
Last NPPES UpdateDecember 16, 20232 updates tracked since enumeration
NPPES CertifiedDecember 16, 2023
✔ NPI 1114403276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in FL · 18324
16756 ABBEY HILL CT, Clermont, FL 34711
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL DAVID LOPEZ MD, SA-C
Specialist/Technologist, Other (Surgical Assistant)
16756 ABBEY HILL CT
CLERMONT, FL 34711
Lake County (407) 480-0295
MEDVASIVE, LLC
Physician Assistant (Surgical)
16756 ABBEY HILL CT
CLERMONT, FL 34711
Lake County (407) 480-0295

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Experiontech, LLC's NPI number?

The NPI number for Experiontech, LLC is 1114403276. It was assigned to this organization in the NPPES registry on July 12, 2018.

Where is Experiontech, LLC located?

Experiontech, LLC is located at 16756 Abbey Hill Ct, Clermont, FL 34711. The listed phone number is (407) 480-0295.

What is Experiontech, LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Experiontech, LLC was last updated on December 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.