Individual
OVIDE-HENRI BERNADOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W ALVERDEZ AVE, CLEWISTON, FL 33440-3504
(863) 983-1423
(863) 983-1426
Mailing address
15451 NATURES POINT LN, WELLINGTON, FL 33414-7159
(561) 753-5986
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME65928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
378694300
—
FL
Enumeration date
08/12/2006
Last updated
10/23/2008
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