# BERGMAN INTEGRATIVE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780986034
- **Authorized official:** DR. MARY LEE BERGMAN DOM (CEO)
- **Authorized official phone:** (954) 551-1243

## Contact information

- **Practice address:** 3079 E COMMERCIAL BLVD, SUITE 201, FORT LAUDERDALE, FL 33308-4311
- **Practice address phone:** (954) 551-1243
- **Practice address fax:** (954) 200-7809
- **Mailing address:** 3079 E COMMERCIAL BLVD, SUITE 201, FORT LAUDERDALE, FL 33308-4311
- **Mailing address phone:** (954) 551-1243
- **Mailing address fax:** (954) 200-7809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AP 404 | FL | Yes |

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 11/18/2010