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Jack Alton Bergh, MD
Family Medicine Physician in Lutz, Florida
NPI 1376506394

Jack Alton Bergh is a Family Medicine Physician based in Lutz, FL. Jack Alton Bergh practices in Lutz, FL and has the professional credentials of MD. The NPI Number for Jack Alton Bergh is 1376506394 and holds a License No. ME0056971 (Florida).

The current practice location address for Jack Alton Bergh is 1539 Dale Mabry Hwy Ste 102, Lutz, FL and can be reached out via phone at 813-909-7102 and via fax at 813-909-0199. You can also correspond with Jack Alton Bergh through the mailing address at 14743 MORNING DR, LUTZ, FL - 33559-3257 (mailing address contact number: 813-975-4743).

Location: 1539 Dale Mabry Hwy Ste 102, Lutz, FL, 33559-3257
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376506394
Provider Name
Jack Alton Bergh
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1539 Dale Mabry Hwy Ste 102, Lutz, FL, 33559-3257
Phone Number
813-909-7102
Fax Number
813-909-0199
Provider Enumeration Date
04/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
770008300 05 FL
institution
Provider Business Practice Location Address Details
Address
1539 Dale Mabry Hwy Ste 102
City
Lutz
State
Florida
Zip
33548
Phone Number
813-909-7102
Fax Number
813-909-0199
person
Provider Business Mailing Address Details
Address
1539 Dale Mabry Hwy Ste 102
City
Lutz
State
Florida
Zip
33548
Phone Number
813-909-7102
Fax Number
813-909-0199
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
ME0056971 (Florida)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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