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1083601900
MICHAEL BERRY
ORLANDO, FL
NPI
1083601900
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: FL PA0002470)
Enumeration Date
2005-10-05
Last Update Date
2018-01-19
Business Address
MICHAEL BERRY PA
601 E ROLLINS ST
ORLANDO, FL 32803-1248
Phone number: 407-303-5600
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Mailing Address
MICHAEL BERRY PA
PO BOX 2400
MELBOURNE, FL 32902-2400
Phone number: 321-837-3820
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