Jessica Bergin
Sports Medicine
401 W Kennedy Blvd # I
Tampa
, Florida 33606-1450
Jessica Bergin
Sports Medicine
401 W Kennedy Blvd # I
Tampa
, Florida 33606-1450
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Jessica Bergin
- 401 W Kennedy Blvd # I
- Tampa, FL
- Zip : 33606-1450
- Phone :
Second Address
- Jessica Bergin
- 401 W Kennedy Blvd # I
- Tampa, FL
- Zip : 33606-1450
- Phone : (813) 253-6264
Reviews
FAQs
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In what state does Jessica Bergin practice in?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | AL5094 | FL |
| Y | 213ES0000X | Sports Medicine | AL5094 | FL |
National Provider Identifier
| NPI | 1073168373 |
|---|---|
| Provider Name | Jessica Bergin |
| First Address | Tampa, FL 33606-1450 |
| Second Address | Tampa, FL 33606-1450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/08/2019 |
| Last Update Date | 05/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.