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NPI Code Detail

MEDICARE: MR. FELIX I LOPEZ BERMUDEZ MD

MEDICARE: MR. FELIX I LOPEZ BERMUDEZ MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianME124778FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356683767
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FELIX I LOPEZ BERMUDEZ MD
Provider Business Mailing Address
First Line : 425 W COLONIAL DR STE 303
Second Line :
City : ORLANDO
State : FL
Zip : 32804-6863
Country : US
Telephone Number :
Fax Number : 689-304-0303
Provider Business Practice Location Address
First Line : 851 DOUGLAS AVE FL 2085
Second Line :
City : ALTAMONTE SPRINGS
State : FL
Zip : 32714-2085
Country : US
Telephone Number : 407-332-0003
Fax Number : 833-450-5404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2013
Last Update Date : 09/16/2025

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