Organization
BERRYHILL MEDICAL PL
Active
Other names
Berryhill Medical Plaza LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
LISBETH VERNALI MD (OWNER)
(850) 476-9691
Entity
Organization
Contact information
Practice address
4785 N 9TH AVE, PENSACOLA, FL 32503-2497
(850) 476-9691
(850) 476-0777
Mailing address
4785 N 9TH AVE, PENSACOLA, FL 32503-2497
(850) 476-9691
(850) 476-0777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME54994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258620700
—
FL
05
—
258620701
—
FL
01
—
45147
BC OF FL GROUP NUMBER
FL
Enumeration date
01/12/2007
Last updated
09/20/2018
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