Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Katherine Berg, PA

Individual provider Physician Assistant · NPI 1679076285

Laura Katherine Berg, PA is a Physician Assistant in Orlando, Florida. Qualified in 2017, 9 years ago. Practices with Orlando Health Medical Group Inc, a 2,137-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
9
Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1222 S Orange Ave
Orlando, FL 32806-1215
Phone: (407) 423-7777
Fax: (407) 423-1380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9111160 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 9111160 (FL)

Record details

NPI number1679076285
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 10, 2018
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Orlando Health Medical Group Inc — 2137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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