Individual
DR. MARIE THERESE BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4634
(352) 265-0301
Mailing address
PO BOX 100296, GAINESVILLE, FL 32610-0296
(352) 627-9350
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME133202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021864300
—
FL
Enumeration date
05/30/2008
Last updated
12/30/2022
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