Individual
DAVID JUSTIN BERGAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2352 BRUCE B DOWNS BLVD STE 101, WESLEY CHAPEL, FL 33544-9203
(813) 929-3600
Mailing address
38135 MARKET SQ, ZEPHYRHILLS, FL 33542-7505
(813) 929-3600
(813) 355-5901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
J3-0000431
DE
2255A2300X
Athletic Trainer
RT005270
PA
363A00000X
Physician Assistant
Primary
PA9114583
FL
363AM0700X
Medical Physician Assistant
C5-0001003
DE
363AM0700X
Medical Physician Assistant
—
DE
Other
Enumeration date
08/29/2012
Last updated
01/05/2022
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