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Individual

BERKLEY JONASSAINT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
849 SE 38TH TER, OKEECHOBEE, FL 34974-3715
(954) 778-4151
Mailing address
901 SW 66TH AVE, NORTH LAUDERDALE, FL 33068-2657
(954) 914-2459

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
FL

Other

Enumeration date
05/25/2023
Last updated
05/25/2023
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