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Individual

BERNADETTE NAZARIO-LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., PHARM.D.

Contact information

Practice address
249 MAITLAND AVE STE 3100, ALTAMONTE SPRINGS, FL 32701-4906
(407) 960-1067
(407) 960-1076
Mailing address
PO BOX 940065, MAITLAND, FL 32794-0065
(407) 960-1067
(407) 960-1076

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
5083
PR
2084N0400X
Neurology Physician
18458
PR
2084N0400X
Neurology Physician
Primary
ME125799
FL

Other

Enumeration date
09/08/2010
Last updated
11/14/2024
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