Lopez, Gerardo

Lopez, Gerardo is an individual health care provider with primary practice located at 4764 E State Road 64 , Bradenton FL 34208-9058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lopez, Gerardo can be contacted via phone (941) 748-7500.

Contact Information

Primary practice address
4764 E State Road 64 Bradenton FL 34208-9058
Phone: (941) 748-7500
Fax: (941) 748-7509
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME57700 Florida

Profile Details

NPI number 1720084031
LBN Legal business name Lopez, Gerardo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720084031 NPPES
Florida Other 11254 BC/BS

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