Individual
MR. JERRY HENRY BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6515 NW 11TH ST, MARGATE, FL 33063-3509
(305) 588-0198
Mailing address
6515 NW 11TH ST, MARGATE, FL 33063-3509
(305) 588-0198
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2643
FL
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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