| B. Ronald Lopez, M.d.p.a. | |
|
2843 Alt 19 Palm Harbor FL 34683-1926 | |
| (727) 772-0038 | |
| (727) 787-2384 |
| Full Name | B. Ronald Lopez, M.d.p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2843 Alt 19, Palm Harbor, Florida |
| Authorized Official Name and Position | Bernard Ronald Lopez (MD) |
| Authorized Official Contact | 7277720038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| B. Ronald Lopez, M.d.p.a. 3843 Alt 19 Palm Harbor FL 34683 Ph: (727) 772-0038 | B. Ronald Lopez, M.d.p.a. 2843 Alt 19 Palm Harbor FL 34683-1926 Ph: (727) 772-0038 |
| NPI Number | 1861760928 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/15/2011 |
| Medicare PECOS PAC ID | 5193982569 |
|---|---|
| Medicare Enrollment ID | O20120214000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861760928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | ME0042956 (Florida) | Primary |
| Provider Name | Patrick E Hickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699746099 PECOS PAC ID: 7012938806 Enrollment ID: I20051209000167 |
| Provider Name | Bernard Ronald Lopez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568458891 PECOS PAC ID: 4880851252 Enrollment ID: I20120214000248 |
| Provider Name | Anton Dragonetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972091221 PECOS PAC ID: 8224393640 Enrollment ID: I20180605001986 |
| Provider Name | Cynthia Vance Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134761802 PECOS PAC ID: 5193157519 Enrollment ID: I20191122001108 |
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