# B. RONALD LOPEZ, M.D.P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861760928
- **Authorized official:** DR. BERNARD RONALD LOPEZ MD (MD)
- **Authorized official phone:** (727) 772-0038

## Contact information

- **Practice address:** 2843 ALT 19, PALM HARBOR, FL 34683-1926
- **Practice address phone:** (727) 772-0038
- **Practice address fax:** (727) 787-2384
- **Mailing address:** 3843 ALT 19, PALM HARBOR, FL 34683
- **Mailing address phone:** (727) 772-0038
- **Mailing address fax:** (727) 787-2384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME0042956 | FL | Yes |

## Other

- **Enumeration date:** 12/05/2011
- **Last updated:** 12/15/2011
