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Individual

JESSICA BERGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
401 W KENNEDY BLVD # I, TAMPA, FL 33606-1450
(813) 253-6264
Mailing address
401 W KENNEDY BLVD # I, TAMPA, FL 33606-1450

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AL5094
FL

Other

Enumeration date
08/05/2019
Last updated
08/05/2019
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