ALBERT JACK BERG — OIG Excluded Provider (MAITLAND, FL, 1128b4)
ALBERT JACK BERG — OIG Excluded Provider (MAITLAND, FL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ALBERT JACK BERG; Type: Individual; Provider category: DME COMPANY.
| Name | ALBERT JACK BERG |
|---|---|
| Type | Individual |
| Provider category | DME COMPANY |
| Specialty | EMPLOYEE |
| City | MAITLAND |
| State | FL |
| ZIP | 32751 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2001-02-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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