Berrios, Wanda M
Berrios, Wanda M is an individual health care provider with primary practice located at 3050 Michigan Ave , Kissimmee FL 34744-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Berrios, Wanda M can be contacted via phone (407) 343-8335.Contact Information
Primary practice address
3050 Michigan Ave
Kissimmee FL 34744-1544
Phone: (407) 343-8335
Fax: (844) 388-6186
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 13686 | Puerto Rico |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ACN699 | Florida |
Profile Details
NPI number | 1932216496 |
---|---|
LBN Legal business name | Berrios, Wanda M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2006 |
Last updated | Aug 10th, 2022 - 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 | 1932216496 | NPPES |
Florida | Other | ACN 699 | FLORIDA MEDICAL LICENSE |
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