| Organization Name: | BRUCE H BERMAN,MD,PA |
| NPI Number: | 1003849258 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE HAL BERMAN (PRESIDENT) |
| Mailing Address: | 675 W Indiantown Rd Suite 100 Jupiter |
| State: | FL US |
| Postal Code: | 334587548 |
| Phone Number: | 5619351090 |
| Fax Number: | 5619351080 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME 0057993 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |