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Kenneth A. Berdick, M.d., P.a.
Pediatric Nurse Practitioner in Fort Myers, Florida
NPI 1508125170

Kenneth A. Berdick, M.d., P.a. is a Pediatric Nurse Practitioner based in Fort Myers, FL and is specialized in Pediatrics. Kenneth A. Berdick, M.d., P.a. practices in Fort Myers, FL. The NPI Number for Kenneth A. Berdick, M.d., P.a. is 1508125170 and holds a License No. ME0017772 (Florida).

The current practice location address for Kenneth A. Berdick, M.d., P.a. is 3714 Evans Ave, Fort Myers, FL and can be reached out via phone at 239-334-4157 and via fax at 239-334-1904.

Location: 3714 Evans Ave, Fort Myers, FL, 33901-9303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508125170
Provider Name
Kenneth A. Berdick, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
3714 Evans Ave, Fort Myers, FL, 33901-9303
Phone Number
239-334-4157
Fax Number
239-334-1904
Provider Enumeration Date
05/16/2012
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
91309 01 FL MEDICARE PTAN
066122800 05 FL
institution
Provider Business Practice Location Address Details
Address
3714 Evans Ave
City
Fort Myers
State
Florida
Zip
33901-9303
Phone Number
239-334-4157
Fax Number
239-334-1904
person
Provider Business Mailing Address Details
Address
3714 Evans Ave
City
Fort Myers
State
Florida
Zip
33901-9303
Phone Number
239-334-4157
Fax Number
239-334-1904
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
NP1971252 (Florida)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
ME0017772 (Florida)
Definition
Definition to come...
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