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 | 1639151160 |
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Provider Enumeration Date | 11/18/2005 |
Last Update Date | 09/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639151160 | NPI | - | NPPES |
258620701 | Medicaid | FL | |
258620700 | Medicaid | FL | |
59083579 | Other | FL | BCBS AL |
45147 | Other | FL | BC BS FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME65994 (Florida) | Primary |
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