| Organization Name: | BERC SARAFIAN P A |
| NPI Number: | 1639367642 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BERC SARAFIAN (PRESIDENT) |
| Mailing Address: | 1920 W Bay Dr Suite 6 Largo |
| State: | FL US |
| Postal Code: | 337703022 |
| Phone Number: | 7275841344 |
| Fax Number: | 7275847855 |
| NPI Enumeration Date: | 10/04/2007 |
| NPI Last Update Date: | 08/18/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225500000X |
| License Number: | ME46578 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |