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Individual

DR. EDWIN BERCAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
710 OAKFIELD DR STE 153, BRANDON, FL 33511-4954
(813) 603-7635
(813) 501-1186
Mailing address
3818 67TH TER E, SARASOTA, FL 34243-4009
(941) 225-5309

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY7991
FL
103TC0700X
Clinical Psychologist
Primary
PY7991
FL

Other

Enumeration date
11/05/2009
Last updated
03/24/2021
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