Provider Demographics
NPI:1386198737
Name:BERKLAND, ARIANNE MICHELLE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ARIANNE
Middle Name:MICHELLE
Last Name:BERKLAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ARIANNE
Other - Middle Name:MICHELLE
Other - Last Name:MOFFAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 W CRYSTAL LAKE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-4476
Mailing Address - Country:US
Mailing Address - Phone:407-254-2500
Mailing Address - Fax:407-423-2789
Practice Address - Street 1:13838 TILDEN RD
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5318
Practice Address - Country:US
Practice Address - Phone:407-287-9113
Practice Address - Fax:407-423-2789
Is Sole Proprietor?:No
Enumeration Date:2016-08-14
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9109905363AM0700X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical