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NPI Code Detail

MEDICARE: BERNIER FAMILY PRACTICE

MEDICARE: BERNIER FAMILY PRACTICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/CenterME0075917FL

General Provider Information

NPI Number : 1417145186
Entity Type Code : Organization
Provider Name (Legal Business Name) : BERNIER FAMILY PRACTICE
Provider Business Mailing Address
First Line : 221 E 23RD ST STE C
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4557
Country : US
Telephone Number : 850-215-2344
Fax Number : 850-215-2348
Provider Business Practice Location Address
First Line : 221 E 23RD ST STE C
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-4557
Country : US
Telephone Number : 850-215-2344
Fax Number : 850-215-2348
Authorized Official
Title or Position : OWNER
Name : DR. ARACELIA BERNIER
Credential : MD
Telephone Number : 850-215-2344
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/09/2007

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Directions to “BERNIER FAMILY PRACTICE ” Practice Location

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