Individual
MARIO AGRAIT BERTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204-4748
(904) 308-7300
Mailing address
PO BOX 161180, ALTAMONTE SPRINGS, FL 32716-1180
(904) 388-6949
(904) 388-1841
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME155975
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME155975
FL
Other
Enumeration date
08/10/2015
Last updated
11/17/2023
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