# VITREOUS AND RETINA CONSULTANTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619156080
- **Authorized official:** ADAM BERGER MD (PRESIDENT)
- **Authorized official phone:** (863) 297-5400

## Contact information

- **Practice address:** 2815 LAKELAND HILLS BLVD, SUITE 200, LAKELAND, FL 33805-2224
- **Practice address phone:** (863) 297-5400
- **Practice address fax:** (863) 293-8230
- **Mailing address:** 250 AVENUE K SW STE 200, WINTER HAVEN, FL 33880-3919
- **Mailing address phone:** (863) 297-5400
- **Mailing address fax:** (863) 293-8230

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2007
- **Last updated:** 06/04/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 372196500 | — | FL |
