Individual provider · NPI-1

Jeremy Bergamo, MD

Urology · Sarasota, FL

NPI number1619324019
StatusActive
Last updated in NPPESJul 25, 2021

Details

NPI
1619324019
Entity type
Individual (NPI-1)
Name
Jeremy Bergamo
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2016
Certification date
Apr 12, 2021
Last updated
Jul 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X UrologyME150870FLYes

Practice location

1 S School Ave Ste 200
Sarasota, FL 34237-6047

Phone 941-309-7000

Mailing address

1 S School Ave Ste 200
Sarasota, FL 34237-6047

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