Nazario-Lopez, Bernadette

Nazario-Lopez, Bernadette is an sole proprietor health care provider with primary practice located at 1573 W Fairbanks Ave Ste 210 , Winter Park FL 32789-4679. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Nazario-Lopez, Bernadette can be contacted via phone (407) 303-6729.

Contact Information

Primary practice address
1573 W Fairbanks Ave Ste 210 Winter Park FL 32789-4679
Phone: (407) 303-6729
Fax: (407) 628-2037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5083 Puerto Rico
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 18458 Puerto Rico
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME125799 Florida

Profile Details

NPI number 1659688018
LBN Legal business name Nazario-Lopez, Bernadette
Credentials M.D., PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 8th, 2010
Last updated Nov 5th, 2019 - about 5 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 1659688018 NPPES
Florida MEDICAID 016257000

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