Individual
AGNES Z SUPALA BERGER
Active
Individual
AGNES Z SUPALA BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME157410
FL
2084N0600X
Clinical Neurophysiology Physician
ME157410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238333
LICENSE
NY
Enumeration date
02/06/2007
Last updated
12/21/2022
Update your record
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