Bertagnolli, Michael

Bertagnolli, Michael is an individual health care provider with primary practice located at 8333 N Davis Hwy , Pensacola FL 32514-6050. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bertagnolli, Michael can be contacted via phone (850) 474-8300.

Contact Information

Primary practice address
8333 N Davis Hwy Pensacola FL 32514-6050
Phone: (850) 474-8300
Fax: (850) 474-8654
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9101818 Florida

Profile Details

NPI number 1427051010
LBN Legal business name Bertagnolli, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Nov 10th, 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 1427051010 NPPES
Florida MEDICAID 291185000

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