Individual provider · Type 1 NPI

Laura Katherine Berg, PA

Surgical Physician Assistant · Orlando, FL

NPI number 1679076285 Active

Practice location

1222 S Orange Ave
Orlando, FL 32806-1215

Call (407) 423-7777 Map

Fax (407) 423-1380

Mailing address

60 Columbia St
Orlando, FL 32806-1115

Other practice locations

  • 1222 S Orange Ave, Orlando, FL 32806-1215 · (407) 649-6878

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X9111160 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9111160 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1679076285

Laura Katherine Berg, PA's National Provider Identifier is 1679076285, issued on Mar 10, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Orlando, FL. The record was last updated on Sep 13, 2024.