Healthcare Provider Details

I. General information

NPI: 1386009199
Provider Name (Legal Business Name): JENNIFER BERBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER TRUMAN

II. Dates (important events)

Enumeration Date: 12/21/2015
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 WIREGRASS RANCH BLVD
WESLEY CHAPEL FL
33543-4274
US

IV. Provider business mailing address

3000 WIREGRASS RANCH BLVD
WESLEY CHAPEL FL
33543-4274
US

V. Phone/Fax

Practice location:
  • Phone: 407-712-8131
  • Fax: 321-843-2196
Mailing address:
  • Phone: 407-712-8131
  • Fax: 321-843-2196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9360045
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN9360045
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: