Individual
MARY BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW
Contact information
Practice address
13101 BRUCE B DOWNS BLVD, TAMPA, FL 33612-3803
(813) 821-8038
(813) 974-0483
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120829200
—
FL
Enumeration date
01/02/2024
Last updated
11/05/2025
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