Individual
BENJAMIN BERWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 HULL RD, GAINESVILLE, FL 32607-4144
(352) 273-7002
(352) 273-7388
Mailing address
PO BOX 112727, GAINESVILLE, FL 32611-2727
(352) 273-7365
(352) 273-7388
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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