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NPI Code Detail

MEDICARE: DR. CAROL LASCH BERLET MD

MEDICARE:  DR. CAROL LASCH BERLET  MD
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
1207L00000XAnesthesiology Physician65321FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125069OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053322511
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROL LASCH BERLET MD
Provider Business Mailing Address
First Line : 16205 TALAVERA DE AVILA
Second Line :
City : TAMPA
State : FL
Zip : 33613-5210
Country : US
Telephone Number : 813-961-7873
Fax Number :
Provider Business Practice Location Address
First Line : 6001 WEBB RD
Second Line :
City : TAMPA
State : FL
Zip : 33615-3241
Country : US
Telephone Number : 913-754-0467
Fax Number : 913-341-5797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/28/2010

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Directions to “ DR. CAROL LASCH BERLET MD” Practice Location

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