| Organization Name: | IVAN BEREND MD PA |
| NPI Number: | 1144335472 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IVAN A BEREND (PRESIDENT) |
| Mailing Address: | 21097 Ne 27th Court Suite 320 Aventura |
| State: | FL US |
| Postal Code: | 331803329 |
| Phone Number: | 3055388660 |
| Fax Number: | 3055388667 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 12/28/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | ME79620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |