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Contact Information

JOSE A BERRIOS, MD
800 TARPON WOODS BLVD
SUITE D
PALM HARBOR, FL34685
 Phone: 727-942-4005
 Fax: 727-934-1773
 Website: http://gulfcoastent.com/
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JOSE A BERRIOS · (Male)

NPI # 1053377754
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2006
Last updated 10/10/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME0052177
  • FL Medicaid 047382100
  • Other 209756 AMERIGROUP
  • Other 214676 AVMED
  • Other ZA5283 BLUE CROSS MASSACHUSETTS
  • Other 7A7011 EMPIRE BLUE CROSS NY
  • Other 0600062 GHI
  • Other 040014067 RR MEDICARE
  • Other 593341132 TAX ID
  • Other 02978 WELLCARE
Hospital affiliation(s)
  • FLORIDA HOSPITAL NORTH PINELLAS - (Acute Care)
    1395 S PINELLAS AVE
    TARPON SPRINGS, FL 34689
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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