Berg, Amanda Lisa

Berg, Amanda Lisa is an individual health care provider with primary practice located at 21097 Ne 27Th Ct Suite 490, Aventura FL 33180-1204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Berg, Amanda Lisa can be contacted via phone (305) 466-0663.

Contact Information

Primary practice address
21097 Ne 27Th Ct Suite 490 Aventura FL 33180-1204
Phone: (305) 466-0663
Fax: (305) 466-9537
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME101078 Florida

Profile Details

NPI number 1699984062
LBN Legal business name Berg, Amanda Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Feb 12th, 2016 - about 8 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 1699984062 NPPES
Florida MEDICAID 000492100

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