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Individual

DR. BERIC EMILIO BERLIOZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7207 GOLDEN WINGS RD STE 100, JACKSONVILLE, FL 32244-3324
(904) 389-1010
(904) 389-1082
Mailing address
7207 GOLDEN WINGS RD STE 100, JACKSONVILLE, FL 32244-3324
(904) 389-1010
(904) 389-1082

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
ME141877
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME141877
FL
208VP0014X
Interventional Pain Medicine Physician
Primary
ME141877
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115268100
FL
Enumeration date
04/26/2017
Last updated
10/14/2022
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