Kenneth A. Berdick, MD, PA
Kenneth A. Berdick, MD, PA is an Internal Medicine Physician in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.
- Licensed in
- FL
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3714 Evans AveFort Myers, FL 33901-9303
Phone: (239) 334-4157
Fax: (239) 334-1904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence ME0017772 (FL) |
|---|---|
| Pediatric Nurse Practitioner | Taxonomy 363LP0200X · Licence NP1971252 (FL) |
Record details
| NPI number | 1508125170 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Berdick — President · (239) 334-4157 |
| NPI enumerated | May 16, 2012 |
| Last updated in NPPES | September 24, 2012 |
| Mailing address | 3714 Evans Ave, Fort Myers, FL 33901-9303 |
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