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1912236357
JUANITA MARIE BERGMANN
TAMPA, FL
NPI
1912236357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
282N00000X General Acute Care Hospital
(Licence: FL OTA7548)
Enumeration Date
2009-12-14
Last Update Date
2009-12-14
Business Address
Ms. JUANITA MARIE BERGMANN COTA/L
4555 S. MANHATTAN AVE.
TAMPA, FL 33601
Phone number: 813-839-6341
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Mailing Address
Ms. JUANITA MARIE BERGMANN COTA/L
1840 BAY PINES CIRCLE
GULF BREEZE, FL 32563
Phone number: 850-910-3963
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