Individual
ASHLEY C BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5742 BOOTH RD STE A, JACKSONVILLE, FL 32207-5982
(904) 739-7779
(904) 739-7771
Mailing address
7015 A C SKINNER PKWY STE 1, JACKSONVILLE, FL 32256-6932
(904) 363-2113
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA058493
PA
363AM0700X
Medical Physician Assistant
Primary
PA9113389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108131500
—
FL
01
—
LY69V
FL BLUE
FL
01
—
M3030
MEDICARE
FL
Enumeration date
11/10/2016
Last updated
11/15/2022
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