Berger, Gary Lee

Berger, Gary Lee is an individual health care provider with primary practice located at 2400 Harbor Blvd Suite 21, Port Charlotte FL 33952-5052. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Berger, Gary Lee can be contacted via phone (941) 625-6992.

Contact Information

Primary practice address
2400 Harbor Blvd Suite 21 Port Charlotte FL 33952-5052
Phone: (941) 625-6992
Fax: (941) 625-7238
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0030516 Florida

Profile Details

NPI number 1205818804
LBN Legal business name Berger, Gary Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 25th, 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 1205818804 NPPES
Florida Other 25028 BCBS PROVIDER #
Florida Other 217124 BCBS PROVIDER #
Florida Other 47450 BCBS PROVIDER #
Florida MEDICAID 002736800 BCBS PROVIDER #
Florida Other 8707000 BCBS PROVIDER #
Florida Other 8707000 BCBS PROVIDER #
Florida Other 1192904 BCBS PROVIDER #

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