Individual
LANA BERKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10015 PARK PLACE AVE, RIVERVIEW, FL 33578-5303
(813) 743-4048
Mailing address
6938 CROWN LAKE DR, GIBSONTON, FL 33534-3918
(813) 743-4048
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA73500
FL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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