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Individual

ANNA BERENSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3390 TAMIAMI TRL, SUITE 204, PORT CHARLOTTE, FL 33952-8157
(941) 391-5496
(941) 875-9875
Mailing address
3390 TAMIAMI TRL, SUITE 204, PORT CHARLOTTE, FL 33952-8157
(941) 391-5496
(941) 875-9875

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1631581
NY
207R00000X
Internal Medicine Physician
Primary
ME127835
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0090031
GHI COMMERCIAL
NY
05
00932274
NY
01
040426018134
FIDELIS
NY
01
159713
ELDERPLAN
NY
01
1631580199001
NEIGHBORHOOD
NY
01
163158A39
HEALTHFIRST
NY
01
171911
WELLCARE
NY
01
1P0466
ACS HEALTHNET OF NE
NY
01
28756P
HIP
NY
01
KP359
OXFORD
NY
01
ME127835
FLORIDA MEDICAL LICENSE
FL
01
RSX003101
AMERICHOICE
NY
Enumeration date
07/02/2006
Last updated
05/04/2016
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