Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | OS8977 | FL |
NPI | 1043324429 |
---|---|
Provider Name | David Louis Berkower |
First Address | Pembroke Pines, FL 33027-1761 |
Second Address | Pembroke Pines, FL 33027-1761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2006 |
Last Update Date | 09/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I19536 | (02) | FL |