Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | ME 25336 | FL |
NPI | 1003875907 |
---|---|
Provider Name | Steven W Berliner |
First Address | Delray Beach, FL 33484-6540 |
Second Address | Delray Beach, FL 33484-6540 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D58410 | (02) | FL |