Individual
TAMARA BERGAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1540 S TAMIAMI TRL, SARASOTA, FL 34239-2930
(941) 917-8791
(941) 917-8793
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
10/18/2022
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