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Organization

BAY AREA GASTROINTESTINAL ENDOSCOPY AND LIVER SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JODY S BERNER MD (PRESIDENT)
(727) 631-0915
Entity
Organization

Contact information

Practice address
1305 S FORT HARRISON AVE, SUITE E, CLEARWATER, FL 33756-3301
(727) 631-0915
(727) 631-0916
Mailing address
1305 S FORT HARRISON AVE, SUITE E, CLEARWATER, FL 33756-3301
(727) 631-0915
(727) 631-0916

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME64901
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
374224500
FL
Enumeration date
07/24/2006
Last updated
08/04/2008
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