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1306965371
ROGER BURT BERGMAN
SOUTH MIAMI, FL
NPI
1306965371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9100770)
Enumeration Date
2007-03-28
Last Update Date
2007-07-08
Business Address
Mr. ROGER BURT BERGMAN PA
7000 SW 62ND AVE SUITE 545
SOUTH MIAMI, FL 33143-4716
Phone number: 305-669-6166
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Mailing Address
Mr. ROGER BURT BERGMAN PA
1000 QUAYSIDE TER APT 1904
MIAMI SHORES, FL 33138-2243
Phone number: 305-895-6659
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