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Contact Information

JESSICA BERGIN, ATC, LAT
401 W KENNEDY BLVD # I
TAMPA, FL33606-1450
 Phone: 813-253-6264
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JESSICA BERGIN · (Female)

NPI # 1073168373
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 08/05/2019
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # AL5094
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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