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Contact Information

BRIAN BERG
1210 CROSSFIELD DR
APOPKA, FL32703-1540
 Phone: 407-921-3968
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for BRIAN BERG · (Male)

NPI Number 1679989149
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2014
Last updated 07/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1874
  • FL License # EMT 539865
  • FL Other E3033546 NREMT
Hospital affiliation(s) Not Available
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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