Individual
AMY BERRONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 S GEORGE BLVD, SEBRING, FL 33875-5847
(863) 382-7223
Mailing address
1290 GOLFVIEW AVE, BARTOW, FL 33830-6703
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009977700
—
FL
Enumeration date
10/28/2014
Last updated
10/28/2014
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