person
Mr. Keith A Berens, PAC
Surgical Physician Assistant in Pensacola, Florida
NPI 1174505788

Keith A Berens is a Surgical Physician Assistant based in Pensacola, FL and is specialized in Surgical. Keith A Berens practices in Pensacola, FL and has the professional credentials of PAC. The NPI Number for Keith A Berens is 1174505788 and holds a License No. PA9101561 (Florida).

The current practice location address for Keith A Berens is 1717 North E Street, Pensacola, FL and can be reached out via phone at 850-444-7050 and via fax at 850-434-8879. You can also correspond with Keith A Berens through the mailing address at 4441 LA JOLLA, PENSACOLA, FL - 32504-7839 (mailing address contact number: 850-261-8030).

Location: 1717 North E Street, Pensacola, FL, 32504-7839
person
Provider Profile Details
NPI Number
1174505788
Provider Name
Keith A Berens
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1717 North E Street, Pensacola, FL, 32504-7839
Phone Number
850-444-7050
Fax Number
850-434-8879
Provider Enumeration Date
11/18/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
291015200 05 FL
59039584 01 FL BSAL
institution
Provider Business Practice Location Address Details
Address
1717 North E Street
City
State
Zip
32501-6339
Phone Number
850-444-7050
Fax Number
850-434-8879
person
Provider Business Mailing Address Details
Address
1717 North E Street
City
State
Zip
32501-6339
Phone Number
850-444-7050
Fax Number
850-434-8879
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9101561 (Florida)
Definition
Definition to come...
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