Berner, Jody S

Berner, Jody S is an individual health care provider with primary practice located at 1305 S Fort Harrison Ave Suite E, Clearwater FL 33756-3301. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Berner, Jody S can be contacted via phone (727) 631-0915.

Contact Information

Primary practice address
1305 S Fort Harrison Ave Suite E Clearwater FL 33756-3301
Phone: (727) 631-0915
Fax: (727) 631-0916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME64901 Florida

Profile Details

NPI number 1245280395
LBN Legal business name Berner, Jody S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Sep 24th, 2008 - about 16 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 1245280395 NPPES
Florida MEDICAID 374224500

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