Berland, Gregory A

Berland, Gregory A is an individual health care provider with primary practice located at 11663 Countryway Blvd , Tampa FL 33626-2739. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berland, Gregory A can be contacted via phone (813) 891-6310.

Contact Information

Primary practice address
11663 Countryway Blvd Tampa FL 33626-2739
Phone: (813) 891-6310
Fax: (813) 891-6889
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME83697 Florida

Profile Details

NPI number 1265427405
LBN Legal business name Berland, Gregory A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jan 25th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265427405 NPPES
Florida Other 4441393 CIGNA
Florida Other 1048101 CIGNA
Florida Other 04896 CIGNA
Florida Other 289697 CIGNA
Florida Other 15336 CIGNA
Florida MEDICAID 267002000 CIGNA
Florida Other 7230565 CIGNA

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