Agnes Sharon Berlin, MD
Family Medicine in Temple Terrace, FL. Individual provider (NPI-1).
NPI number1982015012
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1982015012
- Entity type
- Individual (NPI-1)
- Name
- Agnes Sharon Berlin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2014
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME134684 | FL | Yes |
| 208M00000X | Hospitalist | ME134684 | FL |
Practice location
13067 N Telecom PkwyTemple Terrace, FL 33637-0926
Phone 813-779-6303 · Fax 888-977-1998
Mailing address
13067 N Telecom PkwyTemple Terrace, FL 33637-0926
Phone 813-779-6303 · Fax 888-977-1998
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