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1073518130
LAWRENCE RUSSELL BERGMAN
WELLINGTON, FL
NPI
1073518130
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: FL ME56164)
Enumeration Date
2005-06-16
Last Update Date
2011-09-21
Business Address
Dr. LAWRENCE RUSSELL BERGMAN M.D.
10115 W FOREST HILL BLVD STE 303
WELLINGTON, FL 33414-3102
Phone number: 561-798-5565
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Mailing Address
Dr. LAWRENCE RUSSELL BERGMAN M.D.
10115 W FOREST HILL BLVD STE 303
WELLINGTON, FL 33414-3102
Phone number: 561-798-5565
Copy
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