Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | ME77461 | FL |
NPI | 1720045933 |
---|---|
Provider Name | Dr. Eva A Berkes |
First Address | Sarasota, FL 34239-2307 |
Second Address | Sarasota, FL 34239-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 16/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202478375 | TAX ID (01) | FL |
28001 | BC/BS FLORIDA (01) | FL |
H67125 | (02) | FL |
P00398291 | RAILROAD MEDICARE (01) | FL |