Individual
PHILIP L BERTUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15122 DEDEAUX RD, GULFPORT, MS 39503-3120
(228) 832-1242
(228) 832-1285
Mailing address
15122 DEDEAUX RD, GULFPORT, MS 39503-3120
(228) 832-1285
(228) 832-1285
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13141
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122437
—
MS
Enumeration date
03/14/2006
Last updated
05/25/2025
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