Individual
MR. BERTRAM HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-BC,
Contact information
Practice address
3910 18TH ST W, LEHIGH ACRES, FL 33971-5608
(413) 519-4309
Mailing address
3910 18TH ST W, LEHIGH ACRES, FL 33971-5608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11039952
FL
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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