Bernardino, Virgilio

Bernardino, Virgilio is an individual health care provider with primary practice located at 5233 Ricker Road Suite 101, Jacksonville FL 32210-1439. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bernardino, Virgilio can be contacted via phone (904) 425-6963.

Contact Information

Primary practice address
5233 Ricker Road Suite 101 Jacksonville FL 32210-1439
Fax: (904) 674-0155
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9100905 Florida

Profile Details

NPI number 1023293420
LBN Legal business name Bernardino, Virgilio
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2008
Last updated Jul 3rd, 2014 - about 12 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 1023293420 NPPES
Florida Other K1951A BPC GRP PTAN

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