Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAWRENCE RUSSELL BERGMAN, M.D.
Active Sole ProprietorDR. LAWRENCE RUSSELL BERGMAN, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in WELLINGTON, Florida. NPI 1073518130 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · WELLINGTON, FL
Registration Details
- NPI Number
- 1073518130
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (21.194309577722 yrs)
- Last Updated
- Sep 21, 2011
- License
-
ME56164 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10115 W FOREST HILL BLVDSTE 303WELLINGTON, FL, 334143102Browse FL providers · Browse ZIP 33414
- Phone
- 5617985565
- Fax
- 5617989756
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in WELLINGTON, FL
| Name | Credential | NPI |
|---|---|---|
| MS. ROSA AMELIA MARRON-FERNANDEZ | M.D. | 1518922319 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.