Healthcare Provider Details

I. General information

NPI: 1205037306
Provider Name (Legal Business Name): DAVID PIZARRO LOPEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 SW ARCHER RD.
GAINESVILLE FL
32608-1197
US

IV. Provider business mailing address

1601 SW ARCHER RD.
GAINESVILLE FL
32608-1197
US

V. Phone/Fax

Practice location:
  • Phone: 904-475-5964
  • Fax:
Mailing address:
  • Phone: 904-475-5964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME104063
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: