Berardi, Philip Francis

Berardi, Philip Francis is an individual health care provider with primary practice located at 1818 Sw 15Th Ave , Ocala FL 34474-3548. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Berardi, Philip Francis can be contacted via phone (352) 671-4300.

Contact Information

Primary practice address
1818 Sw 15Th Ave Ocala FL 34474-3548
Fax: (352) 671-4393
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9100662 Florida

Profile Details

NPI number 1154318558
LBN Legal business name Berardi, Philip Francis
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154318558 NPPES
Florida MEDICAID 290563900

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