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Individual
RUDOLF BERSHADSKI
Active
Individual
RUDOLF BERSHADSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9102990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292315700
—
FL
01
—
9276504
CIGNA
FL
01
—
P01214790
RAILROAD MCR
FL
01
—
P116538
FREEDOM
FL
01
—
P38720
OPTIMUM
FL
Enumeration date
05/17/2006
Last updated
09/17/2020
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