Individual
MR. BERNARD RONALD LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2843 ALTERNATE 19, PALM HARBOR, FL 34683
(727) 772-0038
(727) 787-2384
Mailing address
2843 ALTERNATE 19, PALM HARBOR, FL 34683
(727) 772-0038
(727) 787-2384
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0042956
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
064226600
—
FL
Enumeration date
09/22/2005
Last updated
07/08/2007
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