Organization
BERGEN ORTHOPEDICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSARIO VICTORIA CARRAZANA LO (PRESIDENT/ LICENSED ORTHOTIST)
(305) 774-7608
Entity
Organization
Contact information
Practice address
4620 NW 7TH ST, MIAMI, FL 33126-2309
(305) 774-7608
(305) 774-7600
Mailing address
4620 NW 7TH ST, MIAMI, FL 33126-2309
(305) 774-7608
(305) 774-7600
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
ORT 87
FL
335E00000X
Prosthetic/Orthotic Supplier
Primary
ORT 88
FL
Other
Enumeration date
08/02/2005
Last updated
08/22/2020
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