Individual
DR. CAROL LASCH BERLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6001 WEBB RD, TAMPA, FL 33615-3241
(913) 754-0467
(913) 341-5797
Mailing address
16205 TALAVERA DE AVILA, TAMPA, FL 33613-5210
(813) 961-7873
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
65321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25069
BCBS
FL
05
—
374925800
—
FL
Enumeration date
08/10/2006
Last updated
07/28/2010
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