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1720084031
GERARDO LOPEZ
BRADENTON, FL
NPI
1720084031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: FL ME57700)
Enumeration Date
2005-06-22
Last Update Date
2007-07-08
Business Address
GERARDO LOPEZ MD
4764 E STATE ROAD 64
BRADENTON, FL 34208-9058
Phone number: 941-748-7500
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Mailing Address
GERARDO LOPEZ MD
4949 E STATE ROAD 64 # 139
BRADENTON, FL 34208-5530
Phone number: 941-748-7500
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