MEDICARE: DR. KRISTINA HOWES BERGER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME102402	FL

General Provider Information

NPI Number	:	1023260973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTINA HOWES BERGER M.D.

Provider Business Mailing Address
First Line	:	755 RINEHART RD
Second Line	:	SUITE 100
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4874
Country	:	US
Telephone Number	:	407-333-1550
Fax Number	:	407-333-3081

Provider Business Practice Location Address
First Line	:	755 RINEHART RD
Second Line	:	SUITE 100
City	:	LAKE MARY
State	:	FL
Zip	:	32746-4874
Country	:	US
Telephone Number	:	407-333-1550
Fax Number	:	407-333-3081

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2008
Last Update Date	:	06/13/2014

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