Amanda Lisa Berg in Davie - Internal Medicine

Amanda Lisa Berg - NPI 1699984062

Amanda Lisa Berg is a Internal Medicine in Davie, Florida. Amanda Lisa Berg practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Amanda Lisa Berg is 1699984062. The last update date is 2016-02-12.

Amanda Lisa Berg's current location address is 4801 S University Dr, Davie, Florida. You can contact this provider via phone number 3054660663 and fax number 3054669537. The mailing address for Amanda Lisa Berg is 4801 S University Dr, Davie, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Amanda Lisa Berg
Address 4801 S University Dr, Davie, Florida
Phone Number 3054660663
Fax Number 3054669537
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1699984062
Provider Enumeration Date 2007-05-22
Last Updated Date 2016-02-12

Provider Mailing Address Detail

Address 4801 S University Dr
City Davie
State Florida (FL)
Post Code 333283835
Phone Number 3054660663
Fax Number 3054669537

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No ME101078
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
492100 FL --

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FAQs about Amanda Lisa Berg

What is the unique 10-digit identification code issued to Amanda Lisa Berg by the Centers for Medicare & Medicaid Services?

The Amanda Lisa Berg has been assigned the NPI (National Provider Identifier) 1699984062 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Amanda Lisa Berg is located?

The Amanda Lisa Berg is situated at the following address: 4801 S University Dr, Davie, FL, 333283835.

What is Amanda Lisa Berg's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Amanda Lisa Berg is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.

On what date did Amanda Lisa Berg receive its 1699984062 assignment from the Centers for Medicare & Medicaid Services?

The Amanda Lisa Berg was assigned its 1699984062 on 2007-05-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Amanda Lisa Berg most recently updated or revised?

The information pertaining to Amanda Lisa Berg, including its address, specialty, and other relevant details, was last updated or revised on 2016-02-12.

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