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Jack Bergh, MD
NPI 1376506394 · on the registry since 2006
Practice
- Address
- 1539 Dale Mabry Hwy Ste 102
Lutz, FL 33548 - Phone
- (813) 909-7102
- Fax
- (813) 909-0199
- Organisation at this address
- Myrtle Ridge Primary Care, P.A
Myrtle Ridge Primary Care, P.A
Myrtle Ridge Family Medicine, Pa
Myrtle Ridge Healthcare Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-01-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida