Berger, Marc Stuart
Berger, Marc Stuart is an sole proprietor health care provider with primary practice located at 4200 W Cypress St Ste 690 , Tampa FL 33607-4112. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Berger, Marc Stuart can be contacted via phone (813) 877-2200.Contact Information
Primary practice address
4200 W Cypress St Ste 690
Tampa FL 33607-4112
Phone: (813) 877-2200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | FTP 45348 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 66567 | Georgia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 66567 | Georgia |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | ME-81929 | Florida |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | R0996 | Texas |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | ME81929 | Florida |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME-81929 | Florida |
Profile Details
| NPI number | 1861596058 |
|---|---|
| LBN Legal business name | Berger, Marc Stuart |
| Credentials | M.D.,C.M. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Apr 27th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861596058 | NPPES |
| Texas | Other | R0996 | MEDICAL LICENSE TX |
| Texas | Other | 37771 | MEDICAL LICENSE TX |
| Texas | Other | 356072402 | MEDICAL LICENSE TX |
| Texas | MEDICAID | 003113557A | MEDICAL LICENSE TX |
| Texas | Other | 66567 | MEDICAL LICENSE TX |
| Texas | Other | ME 81929 | MEDICAL LICENSE TX |
| Texas | MEDICAID | 263050800 | MEDICAL LICENSE TX |
| Texas | MEDICAID | 356072401 | MEDICAL LICENSE TX |
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