Provider Demographics
NPI:1093290611
Name:BERBERI, VALBONA (APRN)
Entity Type:Individual
Prefix:
First Name:VALBONA
Middle Name:
Last Name:BERBERI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33755-2206
Mailing Address - Country:US
Mailing Address - Phone:727-553-7146
Mailing Address - Fax:
Practice Address - Street 1:701 6TH AVE S
Practice Address - Street 2:
Practice Address - City:ST. PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33755-2206
Practice Address - Country:US
Practice Address - Phone:727-553-7146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9261218207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine