Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | ME101970 | FL |
NPI | 1174763353 |
---|---|
Provider Name | Dr. Steven C Bernstein |
First Address | Fort Myers, FL 33907-5686 |
Second Address | Fort Myers, FL 33907-5686 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2009 |
Last Update Date | 27/02/2009 |