Individual
AUSTIN CHARLES BERGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2320 NE 9TH ST STE 300, FORT LAUDERDALE, FL 33304-3590
(954) 563-4500
Mailing address
2320 NE 9TH ST STE 300, FORT LAUDERDALE, FL 33304-3590
(954) 563-4500
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
PA9115307
FL
363A00000X
Physician Assistant
PA01644
RI
363AS0400X
Surgical Physician Assistant
Primary
PA9115307
FL
Other
Enumeration date
11/15/2021
Last updated
07/29/2025
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