| Jack Alton Bergh, MD | |
|
1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548 | |
| (813) 909-7102 | |
| (813) 909-0199 |
| Full Name | Jack Alton Bergh |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1539 Dale Mabry Hwy Ste 102, Lutz, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376506394 | NPI | - | NPPES |
| 770008300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0056971 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Alton Bergh, MD 14743 Morning Dr, Lutz, FL 33559-3257 Ph: (813) 975-4743 | Jack Alton Bergh, MD 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548 Ph: (813) 909-7102 |
Dr. Myra C Gibson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4123 Highland Park Cir, Lutz, FL 33558 Phone: 813-482-5291 | |
Dr. Eric Joseph Crall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4953 Van Dyke Rd, Lutz, FL 33558 Phone: 813-321-1783 Fax: 877-992-2302 | |
Mariana Giron, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18560 N Dale Mabry Hwy, Lutz, FL 33548 Phone: 813-948-7734 Fax: 813-769-9752 | |
Dr. Ronald Eugene Stephans Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4211 Van Dyke Rd, Suite B, Lutz, FL 33558 Phone: 813-960-4026 Fax: 813-960-4489 | |
Dr. Jonathan Patrick Keenan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15953 N Florida Ave, Lutz, FL 33549 Phone: 202-701-5665 | |
Andres Santayana, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17724 Hunting Bow Cir Ste 101, Lutz, FL 33558 Phone: 813-723-5456 Fax: 813-723-5457 | |
Dr. Tad Robert Connine, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23546 State Road 54, Lutz, FL 33559 Phone: 813-990-7443 Fax: 813-864-7443 |