Individual
DR. BERNADETTE CAROL PROFETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
258 S CHICKASAW TRL STE 301, ORLANDO, FL 32825-3501
(407) 303-7399
(407) 303-7305
Mailing address
258 S CHICKASAW TRL STE 301, ORLANDO, FL 32825-3501
(407) 303-7399
(407) 303-7305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08750100
NJ
208600000X
Surgery Physician
MD069235L
PA
208600000X
Surgery Physician
Primary
ME120470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075868
—
NJ
05
—
101076919
—
PA
Enumeration date
07/15/2006
Last updated
02/18/2021
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