Individual
DR. GARY LEE BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0030516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002736800
—
FL
01
—
1192904
WELLCARE
FL
01
—
217124
AVMED
FL
01
—
25028
BCBS PROVIDER #
FL
01
—
47450
BCBS OF FL
FL
01
—
8707000
CIGNA PROVIDER #
FL
Enumeration date
11/18/2005
Last updated
04/25/2016
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