Jerisa Berry in Royal Palm Beach - Emergency Medicine
Jerisa Berry - NPI 1679760045
Jerisa Berry is a Emergency Medicine in Royal Palm Beach, Florida. Jerisa Berry practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jerisa Berry is 1679760045. The last update date is 2020-02-27.
Jerisa Berry's current location address is 11903 Southern Blvd Ste 108, Royal Palm Beach, Florida. You can contact this provider via phone number 5617931475 and fax number 5617931478. The mailing address for Jerisa Berry is 11903 Southern Blvd Ste 108, Royal Palm Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerisa Berry |
|---|---|
| Address | 11903 Southern Blvd Ste 108, Royal Palm Beach, Florida |
| Phone Number | 5617931475 |
| Fax Number | 5617931478 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1679760045 |
|---|---|
| Provider Enumeration Date | 2007-10-01 |
| Last Updated Date | 2020-02-27 |
Provider Mailing Address Detail
| Address | 11903 Southern Blvd Ste 108 |
|---|---|
| City | Royal Palm Beach |
| State | Florida (FL) |
| Post Code | 334117644 |
| Phone Number | 5617931475 |
| Fax Number | 5617931478 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 125049751 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36119674 | IL | -- |
Post Comment/ Review Below
What is the Jerisa Berry's unique identification number?
The Jerisa Berry has been assigned the NPI (National Provider Identifier) Number 1679760045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jerisa Berry's physical address?
The Jerisa Berry is physically located at 11903 Southern Blvd Ste 108, in the city of Royal Palm Beach, FL, with the postal code 334117644.
What is Jerisa Berry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jerisa Berry is Emergency Medicine, and the taxonomy classification code that categorizes this area of expertise is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679760045 to Jerisa Berry?
The Jerisa Berry received its 1679760045 assignment from the Centers for Medicare & Medicaid Services on 2007-10-01.
When was the information pertaining to Jerisa Berry most recently updated or revised?
The details related to Jerisa Berry, including its address, specialty, and other relevant information, were last updated or revised on 2020-02-27.
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