Individual
DR. THOMAS ANTHONY BERENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
915 NW 56TH TERRACE, GAINESVILLE, FL 32605
(352) 331-4333
(352) 331-8382
Mailing address
915 NW 56TH TERRACE, GAINESVILLE, FL 32605
(352) 331-4333
(352) 331-8382
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P00001560
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212012
AVMED
—
01
—
87868
BC/BS
—
Enumeration date
08/11/2006
Last updated
07/08/2007
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