person
Virgilio Bernardino, PA
Medical Physician Assistant in Jacksonville, Florida
NPI 1023293420

Virgilio Bernardino is a Medical Physician Assistant based in Jacksonville, FL and is specialized in Medical. Virgilio Bernardino practices in Jacksonville, FL and has the professional credentials of PA. The NPI Number for Virgilio Bernardino is 1023293420 and holds a License No. PA9100905 (Florida).

The current practice location address for Virgilio Bernardino is 5233 Ricker Road, Jacksonville, FL and can be reached out via phone at 904-425-6963 and via fax at 904-674-0155.

Location: 5233 Ricker Road, Jacksonville, FL, 32210-1439
person
Provider Profile Details
NPI Number
1023293420
Provider Name
Virgilio Bernardino
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
5233 Ricker Road, Jacksonville, FL, 32210-1439
Phone Number
904-425-6963
Fax Number
904-674-0155
Provider Enumeration Date
01/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
K1951A 01 FL BPC GRP PTAN
institution
Provider Business Practice Location Address Details
Address
5233 Ricker Road
City
State
Zip
32210-1439
Phone Number
904-425-6963
Fax Number
904-674-0155
person
Provider Business Mailing Address Details
Address
5233 Ricker Road
City
State
Zip
32210-1439
Phone Number
904-425-6963
Fax Number
904-674-0155
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA9100905 (Florida)
Definition
Definition to come...
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