MICHAEL BERRY

CRESCENT CITY, FL
NPI1083601900
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA2470)
Enumeration Date2005-10-05
Last Update Date2026-02-23
Business Address
MICHAEL BERRY PA
811 N SUMMIT ST
CRESCENT CITY, FL 32112-2191
Phone number: 386-698-2101
Mailing Address
MICHAEL BERRY PA
PO BOX 2400
MELBOURNE, FL 32902-2400
Phone number: 321-837-3820
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