Bergin, Theresa Marie

Bergin, Theresa Marie is an individual health care provider with primary practice located at 1507 S Hiawassee Rd Ste 107, Orlando FL 32835-5706. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bergin, Theresa Marie can be contacted via phone (407) 445-9545.

Contact Information

Primary practice address
1507 S Hiawassee Rd Ste 107 Orlando FL 32835-5706
Phone: (407) 445-9545
Fax: (407) 299-9141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9104797 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9104797 Florida

Profile Details

NPI number 1114170222
LBN Legal business name Bergin, Theresa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Oct 1st, 2020 - about 6 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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