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Individual
DR. SHARI ALISSA BERG
Active
Individual
DR. SHARI ALISSA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8908
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267469600
—
FL
01
—
P00922489
MEDICARE RAILROAD PROVIDER NUMBER
FL
01
—
PN929
MCR PTAN
FL
Enumeration date
07/07/2005
Last updated
12/27/2024
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