Individual
DR. JACOB P. BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2215 UNIVERSITY PKWY, 103, SARASOTA, FL 34243-7233
(941) 787-5446
Mailing address
2009 RIVER PARK CT, VALRICO, FL 33596-7233
(813) 843-9362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22065
FL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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