Individual
BERGELINE LEXIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8836 VIKING LN, LAKELAND, FL 33809-1751
(323) 705-8054
Mailing address
1205 NEVILLE AVE, LAKELAND, FL 33805-4144
(323) 705-8054
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
Q2T5Z6B7
FL
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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