Bergamo, Dale

Bergamo, Dale is an individual health care provider with primary practice located at 12901 Bruce B Downs Blvd , Tampa FL 33612-4742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is his primary health care specialty. Bergamo, Dale can be contacted via phone (813) 259-8803.

Contact Information

Primary practice address
12901 Bruce B Downs Blvd Tampa FL 33612-4742
Phone: (813) 259-8803
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X ME97143 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME97143 Florida

Profile Details

NPI number 1528039641
LBN Legal business name Bergamo, Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated May 18th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528039641 NPPES
Florida Other 68337 BLUE CROSS BLUE SHIELD
Florida MEDICAID 276902600 BLUE CROSS BLUE SHIELD

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