Organization
L & W PEDIATRICS PA
Active
Other names
Pediatric Partners
Organization subpart
No
Provider details
NPI number
Authorized official
GERARDO LOPEZ MD (PHYSICIAN OWNER)
(941) 748-7500
Entity
Organization
Contact information
Practice address
4764 E STATE ROAD 64, BRADENTON, FL 34208-9058
(941) 748-7500
(941) 748-7509
Mailing address
4949 E STATE ROAD 64, PMB #139, BRADENTON, FL 34208-5530
(941) 748-7500
(941) 748-7509
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME57700
FL
208000000X
Pediatrics Physician
ME70521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME57700
MEDICAL LICENSE DR LOPEZ
FL
01
—
ME70521
MEDICAL LICENSE DR WHITE
FL
Enumeration date
12/15/2006
Last updated
07/24/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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