Individual
BERENICE LOPEZ LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
(813) 929-5451
Mailing address
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637-2141
(813) 929-5451
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME142053
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/19/2017
Last updated
07/08/2025
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