Individual
MRS. LUZ M ALICEA BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1425 DUNN AVE, DAYTONA BEACH, FL 32114
(386) 323-9600
(386) 323-9695
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-0108
(386) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
8391
PR
208D00000X
General Practice Physician
Primary
ACN880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019698900
—
FL
01
—
8286
CRUZ AZUL
—
01
—
ACN880
FLORIDA MEDICAL LICENSE
FL
01
—
IV081Z
FL M CARE
FL
Enumeration date
03/02/2006
Last updated
03/07/2023
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