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Individual

DR. CARL CHARLES BERASI IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610
(352) 273-6575
Mailing address
PO BOX 100254 DEPARTMENT OF ANESTHESIOLOGY, GAINESVILLE, FL 32610-0254
(352) 273-6575
(352) 392-7029

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME134915
FL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024774800
FL
Enumeration date
03/26/2013
Last updated
07/29/2018
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