Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | ME25052 | FL |
N | 207NS0135X | Procedural Dermatology | ME25052 | FL |
NPI | 1518929140 |
---|---|
Provider Name | Alam Leah Berke |
First Address | North Miami Beach, FL 33179 |
Second Address | North Miami Beach, FL 33179 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D86304 | (02) |