Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207NS0135X | Procedural Dermatology | ME0045001 | FL |
Y | 207QA0505X | Family Doctor - Adult Medicine | ME0045001 | FL |
N | 208D00000X | General Practice Physician | ME0045001 | FL |
NPI | 1144314873 |
---|---|
Provider Name | Dr. Abram Berens |
First Address | Plantation, FL 33324-1078 |
Second Address | Plantation, FL 33324-1078 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 28/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D63932 | (02) | FL |