| Organization Name: | P BERNSTEIN PA |
| NPI Number: | 1134529274 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAULA BERNSTEIN (CERTIFIED REGISTERED NURSE 1ST ASST) |
| Mailing Address: | 4233 W Hillsboro Blvd Unit 970528 Coconut Creek |
| State: | FL US |
| Postal Code: | 330971228 |
| Phone Number: | 9542278224 |
| Fax Number: | 9542277442 |
| NPI Enumeration Date: | 08/26/2014 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | RN2727472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |