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Contact Information

BERNARD R LOPEZ, MD
2843 ALTERNATE 19
PALM HARBOR, FL34683
 Phone: 727-772-0038
 Fax: 727-787-2384
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for BERNARD R LOPEZ · (Male)

NPI # 1568458891
Status Active
Credentials MD
Entity Individual
Enumeration date 09/22/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0042956
  • FL Medicaid 064226600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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