Individual
VIRGILIO BERNARDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5233 RICKER ROAD, SUITE 101, JACKSONVILLE, FL 32210-1439
(904) 425-6963
(904) 674-0155
Mailing address
5233 RICKER ROAD, SUITE 101, JACKSONVILLE, FL 32210-1439
(904) 425-6963
(904) 674-0155
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9100905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K1951A
BPC GRP PTAN
FL
Enumeration date
01/03/2008
Last updated
07/03/2014
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