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THOMAS L BERNASEK MD

Physicians Orthopaedic Surgery

Provider NPI: 1881699726

Provider Information:
 THOMAS L BERNASEK MD
Gender: M
Not Sole Proprietor

Practice Location:
13020 N TELECOM PKWY  TEMPLE TERRACE, FL 33637-0925 US
Tel: 813-978-9700  Fax: 813-972-5055

Business Mailing Address:
13020 N TELECOM PKWY  TEMPLE TERRACE, FL 33637-0925 US
Tel: 813-978-9700  Fax: 813-972-5055

NPI Information:
NPI: 1881699726
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XPhysicians
Orthopaedic Surgery
FLME0051151
N207XS0114XPhysicians
Orthopaedic Surgery
FLME51151

Other Provider Identifiers:

IssuerNumberStateType
AVMED213020FL01
AETNA4213501FL01
CIGNA3258493FL01
MEDICARE RR240001744FL01
046438400FL05
BCBS OF FL04448FL01



American Medical Association 2012 taxonomy code information

Code: 207X00000X

Type:

Classification:



Definition:



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