Healthcare Provider Details

I. General information

NPI: 1790457000
Provider Name (Legal Business Name): PATRICIA BERINI H.A.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2021
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4006 3RD ST S
JACKSONVILLE BEACH FL
32250-5848
US

IV. Provider business mailing address

4006 3RD ST S
JACKSONVILLE BEACH FL
32250-5848
US

V. Phone/Fax

Practice location:
  • Phone: 904-247-4327
  • Fax:
Mailing address:
  • Phone: 904-247-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS5592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: