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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH A. BERDICK, M.D., P.A.

Active Organization

KENNETH A. BERDICK, M.D., P.A. is a Internal Medicine organization located in FORT MYERS, Florida. NPI 1508125170 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · FORT MYERS, FL

Registration Details

NPI Number
1508125170
Provider Type
Organization
NPI Issued
May 16, 2012 (14.262265651876 yrs)
Last Updated
Sep 24, 2012
Licenses
NP1971252 (FL)
ME0017772 (FL)

Practice Information

Address
3714 EVANS AVE
FORT MYERS, FL, 339019303
Browse FL providers · Browse ZIP 33901
Phone
2393344157
Fax
2393341904
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.