Provider Demographics
NPI:1346478138
Name:USBERGHI, MICHAEL J (DO)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:J
Last Name:USBERGHI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:910 SW 1ST AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0000
Mailing Address - Country:US
Mailing Address - Phone:352-304-5990
Mailing Address - Fax:352-304-5993
Practice Address - Street 1:1431 SW 1ST AVENUE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0000
Practice Address - Country:US
Practice Address - Phone:352-304-5990
Practice Address - Fax:540-635-1673
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2013-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0116021693207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGY202ZMedicare PIN