Excellent, Berny
Excellent, Berny is an individual health care provider with primary practice located at 1839 Central Ave , Saint Petersburg FL 33713-8900. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Excellent, Berny can be contacted via phone (727) 322-1054.Contact Information
Primary practice address
1839 Central Ave
Saint Petersburg FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 483-5441
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ME0058124 | Florida |
Profile Details
NPI number | 1457441263 |
---|---|
LBN Legal business name | Excellent, Berny |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Apr 30th, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457441263 | NPPES |
Florida | MEDICAID | 053002600 |
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