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MR. SAMUEL TERRELL BERNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CSFA

Contact information

Practice address
7048 69TH ST N, PINELLAS PARK, FL 33781-3930
(727) 417-0355
Mailing address
PO BOX 2814, PINELLAS PARK, FL 33780-2814
(727) 417-0355

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
139299

Other

Enumeration date
02/21/2013
Last updated
02/21/2013
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