Individual
DR. RICARDO LUIS BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 W BLOOMINGDALE AVE, BRANDON, FL 33511-7401
(813) 662-3376
(813) 662-3009
Mailing address
405 W BLOOMINGDALE AVE, BRANDON, FL 33511-7401
(813) 662-3376
(813) 662-3009
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME118963
FL
208D00000X
General Practice Physician
64505
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2008
Last updated
06/26/2014
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