Doctor Name: | BOYCE N BERKEL |
NPI Number: | 1346299179 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 25333 |
Business Practice Address: | 5504 Gateway Blvd Wesley Chapel, FL - 335441970 |
Business Phone Number: | 7275935368 |
Business Fax Number: | 7275953181 |
Mailing Address: | 2330 Kings Point Dr, LARGO |
State: | FL |
Postal Code: | 337741009 |
Phone Number: | 7275935368 |
Fax Number: | 7275953181 |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 25333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |