KEITH L. BERRY

TALLAHASSEE, FL
NPI1922121474
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA1620)
Enumeration Date2007-04-09
Last Update Date2007-07-08
Business Address
-- KEITH L. BERRY PA
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308-5054
Phone number: 850-431-1155
Mailing Address
-- KEITH L. BERRY PA
10085 BULL HEADLEY RD
TALLAHASSEE, FL 32312-9075
Phone number: 850-893-9722
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