Individual
BRIDGETTE YVETTE FORGETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8002 GUNN HWY, TAMPA, FL 33626-1603
(813) 880-7546
(813) 792-7895
Mailing address
795 SEAFOX RD, VENICE, FL 34293-5652
(954) 980-5654
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3611
FL
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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