MEDICARE: COREY BERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171M00000X	Case Manager/Care Coordinator
2	251S00000X	Community/Behavioral Health Agency
3	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1639742901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COREY BERG

Provider Business Mailing Address
First Line	:	354 MERRIMACK ST STE 395
Second Line	:
City	:	LAWRENCE
State	:	MA
Zip	:	01843-1754
Country	:	US
Telephone Number	:	774-206-1125
Fax Number	:	774-628-9657

Provider Business Practice Location Address
First Line	:	6024 PEREGRINE AVE
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7520
Country	:	US
Telephone Number	:	954-559-3325
Fax Number	:

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

Provider Enumeration Date	:	07/23/2021
Last Update Date	:	07/23/2021

Similar Medicare Providers

1447859921 — DENETRA NORRIS-SANGSTER RN
Practice Location Address:

6024 PEREGRINE AVE
ORLANDO, FL
32819-7520

Practice Phone: 816-287-0311
Practice Fax:

1366135543 — MRS. ALEXANDRA NATALEE RAICES APRN
Practice Location Address:

6002 PEREGRINE AVE
ORLANDO, FL
32819-7520

Practice Phone: 407-687-4851
Practice Fax:

1982927190 — REBECCA SAMAAN OTR/L
Practice Location Address:

2422 SIWARD AVE
ORLANDO, FL
32828-7520

Practice Phone: 407-658-5767
Practice Fax:

1851840102 — AYOUNA DENISE BROWN
Practice Location Address:

969 KENTUCKY WOODS LN E
ORLANDO, FL
32824-7520

Practice Phone: 407-301-2844
Practice Fax:

1538028352 — LBL COUNSELING
Practice Location Address:

6645 VINELAND RD STE 270
ORLANDO, FL
32819-7840

Practice Phone: 407-810-5738
Practice Fax:

1912866369 — FLORIDA VIRTUAL SCHOOL
Practice Location Address:

5422 CARRIER DR STE 201
ORLANDO, FL
32819-8323

Practice Phone: 407-513-2067
Practice Fax:

Directions to “ COREY BERG ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.