Individual
ERVIN E BERNOTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8625 54TH DR E, BRADENTON, FL 34211-9456
(941) 753-4400
(941) 753-4408
Mailing address
8625 54TH DR E, BRADENTON, FL 34211-9456
(941) 753-4400
(941) 753-4408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME88550
FL
174400000X
Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48581
BCBS
FL
Enumeration date
04/24/2006
Last updated
11/15/2011
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