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Organization

EDDY E. BERGES, M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDDY BERGES M.D. (OWNER)
(813) 870-3665
Entity
Organization

Contact information

Practice address
2706 W SAINT ISABEL ST, SUITE A, TAMPA, FL 33607-6382
(813) 870-3665
(813) 870-3668
Mailing address
2706 W. ST. ISABEL ST., SUITE A, TAMPA, FL 33607-6320
(813) 870-3665
(813) 870-3668

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068200400
FL
Enumeration date
02/17/2015
Last updated
02/19/2015
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