MICHAEL JARED BERTALAN

TAMPA, FL
NPI1548333974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: FL  POR183)
Additional Taxonomies224P00000X Prosthetist
(Licence: FL  POR183)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
Mr. MICHAEL JARED BERTALAN CPO
5311 E FLETCHER AVENUE
TAMPA, FL 33617
Phone number: 813-985-5000
Mailing Address
Mr. MICHAEL JARED BERTALAN CPO
5311 E FLETCHER AVENUE
TAMPA, FL 33617
Phone number: 813-985-5000
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