Individual
MICHAEL BERTULFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2512 NE 1ST BLVD STE 400, GAINESVILLE, FL 32609-3026
(813) 428-2043
Mailing address
2512 NE 1ST BLVD STE 400, GAINESVILLE, FL 32609-3026
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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