Doctor Name: | FELIX IRAN LOPEZ BERMUDEZ |
NPI Number: | 1356683767 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME124778 |
Business Practice Address: | 829 Douglas Ave Altamonte Springs, FL - 327142084 |
Business Phone Number: | 4073320003 |
Business Fax Number: | 4073321672 |
Mailing Address: | 660 Wyckliffe Pl, WINTER SPRINGS |
State: | FL |
Postal Code: | 327084157 |
Phone Number: | 3038428966 |
Fax Number: | |
NPI Enumeration Date: | 03/24/2013 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME124778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |