MEDICARE: CHLOE BERKLEY

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	363A00000X	Physician Assistant	PA9121310	FL

General Provider Information

NPI Number	:	1588522528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE BERKLEY

Provider Business Mailing Address
First Line	:	1600 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-3003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 SW ARCHER RD
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32608-1134
Country	:	US
Telephone Number	:	352-265-0111
Fax Number	:

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

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	03/12/2026

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Directions to “ CHLOE BERKLEY ” Practice Location

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