Bergau, Olivia Marie
Bergau, Olivia Marie is an sole proprietor health care provider with primary practice located at 1175 Dunlawton Ave Ste 102 , Port Orange FL 32127-4741. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bergau, Olivia Marie can be contacted via phone (386) 265-1913.Contact Information
Primary practice address
1175 Dunlawton Ave Ste 102
Port Orange FL 32127-4741
Phone: (386) 265-1913
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9116937 | Florida |
Profile Details
| NPI number | 1740987668 |
|---|---|
| LBN Legal business name | Bergau, Olivia Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2023 |
| Last updated | Mar 13th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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