| Berryhill Medical Pl | |
|
4785 N 9th Ave Pensacola FL 32503-2497 | |
| (850) 476-9691 | |
| (850) 476-0777 |
| Full Name | Berryhill Medical Pl |
|---|---|
| Speciality | Family Medicine |
| Location | 4785 N 9th Ave, Pensacola, Florida |
| Authorized Official Name and Position | Lisbeth Vernali (OWNER) |
| Authorized Official Contact | 8504769691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berryhill Medical Pl 4785 N 9th Ave Pensacola FL 32503-2497 Ph: (850) 476-9691 | Berryhill Medical Pl 4785 N 9th Ave Pensacola FL 32503-2497 Ph: (850) 476-9691 |
| NPI Number | 1386794907 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386794907 | NPI | - | NPPES |
| 258620700 | Medicaid | FL | |
| 45147 | Other | FL | BC OF FL GROUP NUMBER |
| 258620701 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME54994 (Florida) | Primary |
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