Individual
RUTH NAOMI BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12216 PANAMA CITY BEACH PKWY STE B, PANAMA CITY BEACH, FL 32407-2728
(850) 249-0917
(850) 249-0971
Mailing address
900 S PINE ISLAND RD STE 800, PLANTATION, FL 33324-3923
(850) 767-4777
(850) 249-0971
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
9344387
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
11002907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104627900
—
FL
Enumeration date
06/29/2019
Last updated
04/05/2021
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