Individual
AMANDA BERGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4884 SHELL RD, MILTON, FL 32583-1732
(619) 847-0127
Mailing address
4884 SHELL RD, MILTON, FL 32583-1732
(619) 847-0127
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0997008
CO
363LF0000X
Family Nurse Practitioner
Primary
11016382
FL
Other
Enumeration date
11/09/2021
Last updated
07/02/2026
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