Todd K. Bergan in New Smyrna Beach - Physician Assistant
Todd K. Bergan - NPI 1245213966
Todd K. Bergan is a Physician Assistant in New Smyrna Beach, Florida. Todd K. Bergan practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Todd K. Bergan is 1245213966. The last update date is 2010-02-17.
Todd K. Bergan's current location address is 1860 Renzulli Road, New Smyrna Beach, Florida. You can contact this provider via phone number 3866633064. The mailing address for Todd K. Bergan is 1860 Renzulli Road, New Smyrna Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Todd K. Bergan |
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Address | 1860 Renzulli Road, New Smyrna Beach, Florida |
Phone Number | 3866633064 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1245213966 |
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Provider Enumeration Date | 2005-11-28 |
Last Updated Date | 2010-02-17 |
Provider Mailing Address Detail
Address | 1860 Renzulli Road |
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City | New Smyrna Beach |
State | Florida (FL) |
Post Code | 321681726 |
Phone Number | 3866633064 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA9102600 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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292262200 | FL | -- |
Post Comment/ Review Below
What is the Todd K. Bergan's 1245213966?
The Todd K. Bergan's NPI (National Provider Identifier) Number is 1245213966. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Todd K. Bergan?
The Todd K. Bergan is physically situated at 1860 Renzulli Road, in the city of New Smyrna Beach, state of FL, with the postal code 321681726.
What is the area of specialization for Todd K. Bergan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Todd K. Bergan is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When did the Todd K. Bergan receive its 1245213966?
The Todd K. Bergan was issued its 1245213966 on 2005-11-28, which is the date when the organization was assigned this unique identifier.
When was the information regarding Todd K. Bergan most recently updated?
The details pertaining to the Todd K. Bergan, including its address, specialty, and other relevant information, were last refreshed on 2010-02-17.