Bergner, Donald M

Bergner, Donald M is an individual health care provider with primary practice located at 1840 Mease Drive Suite 300, Safety Harbor FL 34695. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bergner, Donald M can be contacted via phone (727) 785-6011.

Contact Information

Primary practice address
1840 Mease Drive Suite 300 Safety Harbor FL 34695
Phone: (727) 785-6011
Fax: (727) 787-6951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0030517 Florida

Profile Details

NPI number 1396738407
LBN Legal business name Bergner, Donald M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 25th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396738407 NPPES
Florida MEDICAID 065654200

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