Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DN13134 | FL |
NPI | 1013093673 |
---|---|
Provider Name | Dr. Duane Ira Bernstein |
First Address | Gainesville, FL 32614-1142 |
Second Address | Jacksonville, FL 32204-3359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 08/07/2007 |