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Individual

BERNIE KAIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
6100 MINTON RD, SUITE 102, PALM BAY, FL 32907
(321) 724-1171
(321) 724-9024
Mailing address
95 BULLDOG BLVD, SUITE 202, MELBOURNE, FL 32901-3332
(321) 727-2990
(321) 724-0455

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2352
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
55474000
FL
01
PA 2352
FL LICENSE
FL
Enumeration date
07/31/2006
Last updated
03/05/2012
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