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Kimberly Bertot

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

7727 Lake Underhill Rd, Orlando, FL 32822-8224

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Bertot is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1861821498
Provider Type
Individual
Full Name
Bertot, Kimberly
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/4/2013
Last Updated
3/1/2016

Contact Information

Practice Location

7727 Lake Underhill Rd, Orlando, FL 32822-8224

(407) 303-8110

Unlisted Fax

Mailing Location

7727 Lake Underhill Rd, Orlando, FL 32822-8224

(407) 303-8110

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9293244 Florida

Kimberly Bertot

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Keeler, Dana

Ferreira Morejon, Alexandra Michelle

Yanes Delgado, Miguel

Dale, Kimberly

Carnemolla, Miriam C

Ortiz, Carlos Gilberto

Hammad, Sausan

Lastres Hernandez, Pedro Enrique

Torres Valentin, Karen

Caballero, Heidy