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1154423267
WILLIAM D BERMEO
ST AUGUSTINE, FL
NPI
1154423267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL PA9102223)
Enumeration Date
2006-09-01
Last Update Date
2010-10-05
Business Address
-- WILLIAM D BERMEO PAC
100 ARRICOLA AVE
ST AUGUSTINE, FL 32080-4515
Phone number: 904-825-4368
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Mailing Address
-- WILLIAM D BERMEO PAC
264A PALM COAST PKWY NE
PALM COAST, FL 32137-8217
Phone number: 386-446-5505
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