| Doctor Name: | JOSE BERMUDEZ |
| NPI Number: | 1447606157 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | ARNP9227122 |
| Business Practice Address: | 6445 Sw 8th St West Miami, FL - 331444813 |
| Business Phone Number: | 3054488557 |
| Business Fax Number: | 3054488570 |
| Mailing Address: | 5063 Sw 160th Ave, MIAMI |
| State: | FL |
| Postal Code: | 331855068 |
| Phone Number: | 7865534188 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2016 |
| NPI Last Update Date: | 05/11/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9227122 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |