| Doctor Name: | LLOYD BERGNER |
| NPI Number: | 1912026857 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | ME86450 |
| Business Practice Address: | 9729 Sw Eastbrook Cir Port St Lucie, FL - 349872429 |
| Business Phone Number: | 9548816300 |
| Business Fax Number: | 8884500787 |
| Mailing Address: | 9729 Sw Eastbrook Cir, PORT ST LUCIE |
| State: | FL |
| Postal Code: | 349872429 |
| Phone Number: | 9548816300 |
| Fax Number: | 8884500787 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 03/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME86450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |