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

Michael Berry, PA

Individual provider Medical Physician Assistant · NPI 1083601900

Michael Berry, PA is a Physician Assistant in Crescent City, Florida. Qualified in 1990, 36 years ago. Practices with Island Doctors Intrastate LLC, a 76-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
36
Licensed in
FL
In the registry since
2005
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

811 N Summit St
Crescent City, FL 32112-2191
Phone: (386) 698-2101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2470 (FL)

Record details

NPI number1083601900
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing addressPo Box 2400, Melbourne, FL 32902-2400

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Island Doctors Intrastate Llc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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