Individual
DR. ANA MARIA BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1955 US 1 S, SUITE 100, ST AUGUSTINE, FL 32086-3708
(904) 825-5055
(904) 825-6875
Mailing address
1955 US 1 S, SUITE 100, ST AUGUSTINE, FL 32086-3708
(904) 825-5055
(904) 825-6875
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12010989A
IN
1223G0001X
General Practice Dentistry
Primary
HAD 36
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008304900
—
FL
05
—
200871320
—
IN
Enumeration date
08/29/2007
Last updated
05/29/2014
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