-- JACK ALTON BERGH MD ⚕️ Florida 1376506394

NPI	1376506394
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	207Q00000X Family Medicine (Licence: FL ME0056971)
Enumeration Date	2006-04-10
Last Update Date	2013-01-08

-- JACK ALTON BERGH MD

1539 DALE MABRY HWY STE 102

LUTZ, FL 33548

Phone number: 813-909-7102

-- JACK ALTON BERGH MD

14743 MORNING DR

LUTZ, FL 33559-3257

Phone number: 813-975-4743