Male or Other

Mr. Bernard R. Lopez MD

Psychiatry Physician in Palm Harbor, FL(View on Map)

Full Name

Mr. Bernard Ronald Lopez MD

NPI Number

1568458891

NPI Type

Individual Provider

Gender

Male

Enumeration Date

09/22/2005

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Florida

License Number

ME0042956

Contact
Information

Purpose

Mailing
Location

Address

2843 ALTERNATE 19
2843 ALTERNATE 19

City

Palm Harbor
Palm Harbor

State

FL
FL

Postal Code

34683
34683

Country

US
US

Telephone Number

(727) 772-0038
(727) 772-0038

Identifiers

Identifier

064226600

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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