Individual
DR. AMANDA LISA BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21097 NE 27TH CT, SUITE 490, AVENTURA, FL 33180-1204
(305) 466-0663
(305) 466-9537
Mailing address
4801 S UNIVERSITY DR, STE 104, DAVIE, FL 33328-3835
(305) 466-0663
(305) 466-9537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME101078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000492100
—
FL
Enumeration date
05/22/2007
Last updated
02/12/2016
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