Individual
MANUEL A. BERMUDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
2173 CENTERVILLE PL STE A, TALLAHASSEE, FL 32308-8303
(850) 385-0144
Mailing address
PO BOX 452198, SUNRISE, FL 33345-2198
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA104
FL
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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