Bertozzi, John

Bertozzi, John is an individual health care provider with primary practice located at 1200 7Th Ave N , St Petersburg FL 33705-1300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bertozzi, John can be contacted via phone (727) 825-1100.

Contact Information

Primary practice address
1200 7Th Ave N St Petersburg FL 33705-1300
Phone: (727) 825-1100
Fax: (727) 827-5155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME95912 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101244135 Virginia

Profile Details

NPI number 1326230095
LBN Legal business name Bertozzi, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2007
Last updated Aug 3rd, 2021 - about 3 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 1326230095 NPPES
Florida Other 145KF FL BCBS
Florida Other ME95912 FL BCBS
Florida Other P00867622 FL BCBS
Florida MEDICAID 001072200 FL BCBS
Florida Other CC454Z FL BCBS

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