George Thomas Bernardo in Port Orange - Family Medicine
George Thomas Bernardo - NPI 1124129259
George Thomas Bernardo is a Family Medicine in Port Orange, Florida. George Thomas Bernardo practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for George Thomas Bernardo is 1124129259. The last update date is 2009-10-26.
George Thomas Bernardo's current location address is 790 Dunlawton Ave, Port Orange, Florida. You can contact this provider via phone number 3867601877 and fax number 3867602791. The mailing address for George Thomas Bernardo is 790 Dunlawton Ave, Port Orange, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Thomas Bernardo |
|---|---|
| Address | 790 Dunlawton Ave, Port Orange, Florida |
| Phone Number | 3867601877 |
| Fax Number | 3867602791 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124129259 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2009-10-26 |
Provider Mailing Address Detail
| Address | 790 Dunlawton Ave |
|---|---|
| City | Port Orange |
| State | Florida (FL) |
| Post Code | 321279279 |
| Phone Number | 3867601877 |
| Fax Number | 3867602791 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | ME0056972 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45360 | FL | MEDICARE GROUP | |
| 551243 | FL | AETNA | |
| 51717800 | FL | -- | |
| 80164320 | FL | RAILROAD MEDICARE | |
| 59-3667262 | FL | TAX ID# |
Post Comment/ Review Below
What is the unique provider identifier assigned to George Thomas Bernardo?
The George Thomas Bernardo has been issued the NPI (National Provider Identifier) 1124129259 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where George Thomas Bernardo is physically located?
The George Thomas Bernardo is situated at the following address: 790 Dunlawton Ave, Port Orange, FL 321279279.
What is the George Thomas Bernardo's specialty and taxonomy code?
The George Thomas Bernardo's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date was the 1124129259 assigned to George Thomas Bernardo?
The George Thomas Bernardo was issued its 1124129259 on 2006-09-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding George Thomas Bernardo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to George Thomas Bernardo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-10-26.