Berrios, Wanda M

Berrios, Wanda M is an individual health care provider with primary practice located at 3050 Michigan Ave , Kissimmee FL 34744-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Berrios, Wanda M can be contacted via phone (407) 343-8335.

Contact Information

Primary practice address
3050 Michigan Ave Kissimmee FL 34744-1544
Phone: (407) 343-8335
Fax: (844) 388-6186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 13686 Puerto Rico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ACN699 Florida

Profile Details

NPI number 1932216496
LBN Legal business name Berrios, Wanda M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Aug 10th, 2022 - about 4 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 1932216496 NPPES
Florida Other ACN 699 FLORIDA MEDICAL LICENSE

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