Linda Bergin Goforth in Bradenton - Medical

Linda Bergin Goforth - NPI 1841387735

Linda Bergin Goforth is a Medical in Bradenton, Florida. Linda Bergin Goforth practices all healthcare services and medical treatments related to Medical. The NPI Number for Linda Bergin Goforth is 1841387735. The last update date is 2012-04-04.

Linda Bergin Goforth's current location address is 2001 Manatee Avenue East,, Bradenton, Florida. You can contact this provider via phone number 9418038395 and fax number 9418038158. The mailing address for Linda Bergin Goforth is 2001 Manatee Avenue East,, Bradenton, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Linda Bergin Goforth
Address 2001 Manatee Avenue East,, Bradenton, Florida
Phone Number 9418038395
Fax Number 9418038158
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1841387735
Provider Enumeration Date 2006-10-10
Last Updated Date 2012-04-04

Provider Mailing Address Detail

Address 2001 Manatee Avenue East,
City Bradenton
State Florida (FL)
Post Code 34208
Phone Number 9418038395
Fax Number 9418038158

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 102514
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
MB0350710 NC CONTROLLED SUBSTANCE REGI

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FAQs about Linda Bergin Goforth

What is the unique identifier code issued to Linda Bergin Goforth by the Centers for Medicare & Medicaid Services (CMS)?

The Linda Bergin Goforth has been assigned the NPI (National Provider Identifier) 1841387735. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Linda Bergin Goforth is physically located?

The Linda Bergin Goforth is situated at the following address: 2001 Manatee Avenue East,, Bradenton, FL 34208.

What is the Linda Bergin Goforth's area of specialization and corresponding taxonomy classification?

The Linda Bergin Goforth's specialty field is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their specialties.

On what date was the 1841387735 assigned to Linda Bergin Goforth?

The Linda Bergin Goforth was issued its 1841387735 on 2006-10-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Linda Bergin Goforth last refreshed?

The information related to the Linda Bergin Goforth, including its address, specialty, and other relevant details, was last updated on 2012-04-04.

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