Scott R Bergquist
Scott R Bergquist is a Contractor in Fernandina Beach, Florida. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2045 Oak Marsh DrFernandina Beach, FL 32034-2462
Phone: (888) 684-8227
Fax: (888) 684-8227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1194415570 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2023 |
| Last updated in NPPES | June 18, 2024 |
| Certification date | June 18, 2024 |
| Mailing address | 2045 Oak Marsh Dr, Fernandina Beach, FL 32034-2462 |
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