Individual
MS. JUANITA MARIE BERGMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4555 S. MANHATTAN AVE., TAMPA, FL 33601
(813) 839-6341
Mailing address
1840 BAY PINES CIRCLE, GULF BREEZE, FL 32563
(850) 910-3963
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
OTA7548
FL
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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