Excellent, Berny

Excellent, Berny is an individual health care provider with primary practice located at 1839 Central Ave , Saint Petersburg FL 33713-8900. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Excellent, Berny can be contacted via phone (727) 322-1054.

Contact Information

Primary practice address
1839 Central Ave Saint Petersburg FL 33713-8900
Phone: (727) 322-1054
Fax: (727) 483-5441
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X ME0058124 Florida

Profile Details

NPI number 1457441263
LBN Legal business name Excellent, Berny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Apr 30th, 2013 - about 13 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 1457441263 NPPES
Florida MEDICAID 053002600

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