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NPI Code Detail

MEDICARE: DR. MATTHEW HOWARD BERLET M.D.

MEDICARE: DR. MATTHEW HOWARD BERLET 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
12085R0202XDiagnostic Radiology PhysicianME63918FL
22085R0202XDiagnostic Radiology Physician64504GA
3174400000XSpecialistME63918FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2300060749OTHERFLRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID 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 : 1649245085
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW HOWARD BERLET M.D.
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number :
Provider Business Practice Location Address
First Line : 4516 N ARMENIA AVE
Second Line :
City : TAMPA
State : FL
Zip : 33603-2732
Country : US
Telephone Number : 813-348-6951
Fax Number : 813-348-6999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 06/11/2026

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Directions to “ DR. MATTHEW HOWARD BERLET M.D.” Practice Location

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